Healthcare Provider Details

I. General information

NPI: 1285066118
Provider Name (Legal Business Name): MEDICAL IMAGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 SUNNY ISLE SHOPPING CENTER STE B3
CHRISTIANSTED VI
00820-4492
US

IV. Provider business mailing address

6002 DIAMOND RUBY STE 3 PMB 354
CHRISTIANSTED VI
00820-5226
US

V. Phone/Fax

Practice location:
  • Phone: 340-692-2882
  • Fax: 340-692-2883
Mailing address:
  • Phone: 340-692-2882
  • Fax: 340-692-2883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. MARCEL LOUIS GALIBER
Title or Position: PRESIDENT
Credential: RDMS, RVT, ARMRIT
Phone: 340-692-2882