| Organization Name: | ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE LLC |
| NPI Number: | 1538333117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL FAGIEN (COO) |
| Mailing Address: | 5210 Belfort Rd Ste 130 Jacksonville |
| State: | FL US |
| Postal Code: | 322566024 |
| Phone Number: | 9044704000 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | ME59548 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |