Healthcare Provider Details

I. General information

NPI: 1538023536
Provider Name (Legal Business Name): GASTON THERMAL IMAGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 COX RD
GASTONIA NC
28054-3455
US

IV. Provider business mailing address

927 COX RD
GASTONIA NC
28054-3455
US

V. Phone/Fax

Practice location:
  • Phone: 704-853-9160
  • Fax: 704-824-4676
Mailing address:
  • Phone: 704-853-9160
  • Fax: 704-824-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JERRY RYAN GARDNER
Title or Position: PRESIDENT
Credential: DC
Phone: 704-813-8533