Glades Imaging Center LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GLADES IMAGING CENTER LLC

Practice address

1200 S Main St
Suite 103
Belle Glade, FL 33430-7808

Phone

(561) 762-7170

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jorge Daniel Ghiragossian, M.D.

Title

Owner

Phone

(561) 762-7170

Specialties & licenses 1

Addresses

Tax ID family

Glades Imaging Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glades Imaging Center LLC

  • Mammography Clinic/Center
  • Belle Glade, FL
  • NPI 1720123532
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346349719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 S STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146101",
            "telephone_number": "561-762-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S MAIN ST",
            "address_2": "SUITE 103",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334307808",
            "telephone_number": "561-762-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADES IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHIRAGOSSIAN",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-762-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Louis Gibbons Jr.
• Denise B Giuliani, PHYSICIAN ASSISTANT
• Glades Eye Care Incorporated
• Glades Holding Group
• Glades Home Health Care Medical Center LLC
• Glades Imaging Center LLC
• Glades Physical Therapy and Sports Medicine
• Glades Primary Care LLC
• Jaqui Melody Glucksman, RN
• Debbie Simone Gordon, APRN-BC

• Diagnostic Radiology Physician in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.