Organization · Type 2 NPI

Great Lakes Imaging S C

Diagnostic Radiology Physician · El Segundo, CA

NPI number 1407406911 Active

Practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Call (424) 290-8004 Map

Mailing address

13333 Northwest Fwy Ste 540
Houston, TX 77040-6166

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

58 other providers at this address

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About NPI 1407406911

Great Lakes Imaging S C's National Provider Identifier is 1407406911, issued on Sep 17, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in El Segundo, CA. The record was last updated on Sep 17, 2019.