Healthcare Provider Details

I. General information

NPI: 1134133077
Provider Name (Legal Business Name): MEDICAL IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 NW 27TH CT SUITE B
GAINESVILLE FL
32606
US

IV. Provider business mailing address

5000 NW 27TH CT SUITE B
GAINESVILLE FL
32606
US

V. Phone/Fax

Practice location:
  • Phone: 352-372-2345
  • Fax: 352-372-2717
Mailing address:
  • Phone: 352-372-2345
  • Fax: 352-372-2717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICK B GURLEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 352-372-2345