SOUTHSIDE MEDICAL IMAGING – Radiology Clinic/Center, NPI 1568459055

SOUTHSIDE MEDICAL IMAGING is a healthcare provider. based in Jacksonville, Florida. specializing in Radiology Clinic/Center. The organization holds a License No. HCCR1418 (FL). The NPI Number for SOUTHSIDE MEDICAL IMAGING is 1568459055

Main info

Organization
Name
SOUTHSIDE MEDICAL IMAGING
NPI
1568459055
Phone
(904) 733-7770
Address
6138 KENNERLY RD
Authorized Official
MRS. CATHY BLAESE CHIEF OPERATING OFFICER
Enumeration Date
30 September 2005
Last Update Date
2 October 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for SOUTHSIDE MEDICAL IMAGING

  • 6138, Kennerly Road, Sans Souci, Jacksonville, Duval County, Florida, 32216, United States

    SUITE 101

    JACKSONVILLE, FL 322164345

    Phone: (904) 733-7770

    Fax: (904) 733-7778

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32216)

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Reviews

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Frequently asked questions

Does SOUTHSIDE MEDICAL IMAGING have a public NPI I can cite?
Public records show SOUTHSIDE MEDICAL IMAGING under NPI 1568459055.
Does the public listing show SOUTHSIDE MEDICAL IMAGING as active?
SOUTHSIDE MEDICAL IMAGING's NPI record reflects an active status in NPPES.
What services align with SOUTHSIDE MEDICAL IMAGING's listing?
SOUTHSIDE MEDICAL IMAGING's public classification highlights Radiology Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to SOUTHSIDE MEDICAL IMAGING?
SOUTHSIDE MEDICAL IMAGING shows a connection to Jacksonville, Florida in registry-derived data.
Who maintains SOUTHSIDE MEDICAL IMAGING's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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