MEDICARE: DIAGNOSTIC IMAGING PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285870089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC IMAGING PA

Provider Business Mailing Address
First Line	:	130 CORRIDOR RD UNIT 428
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32004-7718
Country	:	US
Telephone Number	:	904-551-0703
Fax Number	:	904-551-0709

Provider Business Practice Location Address
First Line	:	1052 PONTE VEDRA BLVD
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-4015
Country	:	US
Telephone Number	:	904-551-0703
Fax Number	:	904-551-0709

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHAHID M NASIR
Credential	:	MD
Telephone Number	:	904-629-6733

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	10/07/2021

Similar Medicare Providers

1811904238 — SHAHID M NASIR MD
Practice Location Address:

1052 PONTE VEDRA BLVD
PONTE VEDRA BEACH, FL
32082-4015

Practice Phone: 904-551-0703
Practice Fax: 904-551-0709

1912905316 — COMFORT HOME HEALTH CARE, INC.
Practice Location Address:

3633 LONG BEACH BLVD , #103
LONG BEACH, CA
90807-4015

Practice Phone: 562-997-4150
Practice Fax: 562-997-4049

1326094301 — PERKINS COMPOUNDING PHARMACY INC
Practice Location Address:

4015 20TH ST
VERO BEACH, FL
32960-2403

Practice Phone: 772-978-6470
Practice Fax: 772-978-6471

1902839277 — BEHAVIORAL INTERVENTIONS, TRAINING & EVALUATIONS, INC.
Practice Location Address:

2108 THOROUGHGOOD RD
VIRGINIA BEACH, VA
23455-4015

Practice Phone: 757-416-5325
Practice Fax:

1407040546 — IV ACCESS, INC.
Practice Location Address:

799 NE 2ND AVE
DELRAY BEACH, FL
33444-4015

Practice Phone: 561-436-9434
Practice Fax: 888-804-6378

1093965519 — JOAN ANN KRUEGER SLP
Practice Location Address:

4015 W PALM AIRE DR APT 807
POMPANO BEACH, FL
33069-4177

Practice Phone: 954-972-5060
Practice Fax:

Directions to “DIAGNOSTIC IMAGING PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.