Healthcare Provider Details

I. General information

NPI: 1407718620
Provider Name (Legal Business Name): GH ULTRASOUND & IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5099 TALLOWOOD WAY
NAPLES FL
34116-5005
US

IV. Provider business mailing address

5099 TALLOWOOD WAY
NAPLES FL
34116-5005
US

V. Phone/Fax

Practice location:
  • Phone: 239-507-2311
  • Fax:
Mailing address:
  • Phone: 239-507-2311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GERMAN HORTA RODRIGUEZ
Title or Position: SONOGRAPHER/OWNER
Credential: RDMS
Phone: 239-507-2311