Beaches Open Mri, LLC
Beaches Open Mri, LLC is a healthcare organization registered as Radiology Clinic/Center in Jacksonville Beach, FL, holding Type 2 (organization) NPI 1063564672 since 2007. The authorized official on file is Mark Frisk, Radiologist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063564672 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Beaches Open Mri, LLC |
| Practice address | 350 10TH AVE S, Jacksonville Beach, FL, 32250 |
| Phone | 9042472220 |
| Fax | 9042472296 |
| Enumeration date | 2007-01-17 |
| Last updated in NPPES | 2012-01-24 |
Authorized official
| Name | Mark Frisk |
|---|---|
| Title | Radiologist |
| Phone | 9042472220 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0200X | Radiology Clinic/Center | Primary | 0700012919 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2240835 | Other | FL | AETNA PROVIDER # |
| 38350 | Other | FL | WELLCARE |
| V2353 | Other | FL | BCBS PROVIDER # |
Copy-ready billing details
Provider: Beaches Open Mri, LLC NPI: 1063564672 Taxonomy: 261QR0200X (Radiology Clinic/Center) Address: 350 10TH AVE S, Jacksonville Beach, FL, 32250
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831222165 | Mark Frisk | Individual | Specialist | Jacksonville Beach, FL |
Verify this record
Cross-check NPI 1063564672 against the authoritative CMS record: view Beaches Open Mri, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Beaches Open Mri, LLC?
Who is the authorized official for Beaches Open Mri, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-01-24.