Active NPI
Medical Imaging Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Gainesville, FL
National Provider Identifier
1467460360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- MEDICAL IMAGING INC
- Practice address
- 5000 NW 27TH CT
Suite B
Gainesville, FL 32606 - Phone
- (352) 372-2345
- Fax
- (352) 372-2717
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Gurley
- Title
- Vice President
- Phone
- (352) 372-2345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | FL | Primary |
Addresses
Primary practice location
5000 NW 27TH CT
Suite B
Gainesville, FL 32606
Mailing address
5000 NW 27TH CT
Suite B
Gainesville, FL 32606
Phone (352) 372-2345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W9867 | Other | FL | BCBS |
| 030401800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061214000429 | FL | Part B Supplier - Portable X-Ray Supplier | 9335194224 | Practice locations: Gainesville, FL |
Portable X-ray supplier certification: CCN 10X0009867
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MEDICAL IMAGING INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Mar 31, 1992
- Last certification
- Sep 27, 2019
- Ownership / control type
- Corporation
- Facility address
- 5000 NW 27TH CT
Gainesville, FL 32606
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Medical Imaging Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mobile Radiology Clinic/Center
- Gainesville, FL
- NPI 1134133077
Locations
5000 NW 27th Ct
Ste B
Gainesville, FL 32606
Phone (352) 372-2345
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1043203003
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1447342886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1467460360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 NW 27TH CT",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "352-372-2345",
"fax_number": "352-372-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 NW 27TH CT",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32606",
"telephone_number": "352-372-2345",
"fax_number": "352-372-2717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "GURLEY",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "352-372-2345"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W9867",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030401800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.