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GCC IMAGING LLC NPI 1578566808


NPI Information

NPI: 1578566808
Provider Name: GCC IMAGING, LLC
Classification: Radiologic Technologist - 2471N0900X
Entity Type: Organization

Specialization: Nuclear Medicine Technology

Address:
633 AERICK ST
# 105
INGLEWOOD, CA
ZIP 90301
Phone: (310) 412-8181
Get Directions

GCC IMAGING, LLC is a nuclear medicine technology radiologic technologist in Inglewood, CA. The provider is a radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, administration of radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care. GCC IMAGING, LLC NPI is 1578566808. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

633 AERICK ST
# 105
INGLEWOOD, CA
ZIP 90301-978
Phone: (310) 412-8181
Fax: (310) 412-9299

The provider's authorized official is Mo Soulati .
The authorized official title is Billing Manager and has the following contact phone number (310) 412-8181.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 8/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471V0105XRadiologic TechnologistVascular Sonography7280-19CALIFORNIANo
2291U00000XClinical Medical LaboratoryCLF336330CALIFORNIANo
32471N0900XRadiologic TechnologistNuclear Medicine Technology7280-19CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AT938MEDICARE PINCALIFORNIA
2TG407MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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