GULF COAST HEALTH SYSTEM IMAGING LLC NPI 1750822342

NPI Information

GULF COAST HEALTH SYSTEM IMAGING, LLC is a radiology clinic center in Pensacola, FL. GULF COAST HEALTH SYSTEM IMAGING, LLC NPI is 1750822342. The provider is registered as an organization entity type.
The provider Is Doing Business As Optimal Imaging Sacred Heart Health System.

The provider's business location address is:

13137 SORRENTO RD
PENSACOLA, FL
ZIP 32507
Phone: (615) 974-1972

The provider's authorized official is Ryan D Brown .
The authorized official title is General Counsel and has the following contact phone number (615) 974-1972.

The CLIA number assigned to this NPI record is 10D2131665 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 3/15/2017.

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:

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