Daytona MRI LLC
NPI 1316309800ActiveOrganization· Physiological Laboratory· Daytona Beach, FL
Physiological Laboratory in Daytona Beach, Florida, registered in NPPES in March 2016. The authorized official on file is Johnathan Livingston Wagner, D.C, Owner.
Overview
| NPI | 1316309800 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2016 |
| Last updated in NPPES | May 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Radiologic Technologist, Radiography | 2471C3402X | — | — |
| Radiologic Technologist, Magnetic Resonance Imaging | 2471M1202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|