Healthcare Provider Details

I. General information

NPI: 1013055714
Provider Name (Legal Business Name): GLOBAL IMAGING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5433 LAMBETH DR
ROCKFORD IL
61107-1669
US

IV. Provider business mailing address

5433 LAMBETH DR.
ROCKFORD IL
61107-1669
US

V. Phone/Fax

Practice location:
  • Phone: 815-282-9129
  • Fax:
Mailing address:
  • Phone: 815-282-9129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY MURPHY
Title or Position: CO-OWNER
Credential:
Phone: 815-282-9129