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Jacksonville Diagnostic Imaging LLC

Diagnostic Radiology Physician in Jacksonville, NC · enumerated 2006 · authorized official Geoffrey Gardner, Svp Finance and Revenue Cycle.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104874387

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Registry record

Entity type Organization (Type 2)
Legal business name Jacksonville Diagnostic Imaging LLC
Other name <Unavail>
Practice address 3606 Henderson Dr, Jacksonville, NC, 28546
Fax (910) 937-0064
Enumeration date May 4, 2006
Last updated in NPPES Mar 19, 2024

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Geoffrey Gardner
Title Svp Finance and Revenue Cycle

Other identifiers

Identifier Type State Issuer
89014UN Medicaid NC -
014UN Other NC BCBS NC
101136600 Other NC DOL
P00107621 Other NC MEDICARE RAILROAD

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.

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Frequently asked questions

Who is the authorized official for Jacksonville Diagnostic Imaging LLC?
NPPES lists Geoffrey Gardner (Svp Finance and Revenue Cycle) as the authorized official for this organization.
What is the NPI number for Jacksonville Diagnostic Imaging LLC?
The NPI for Jacksonville Diagnostic Imaging LLC is 1104874387, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-19.