Organization Active NPI

Dr. G'S Urgent Radiology

  • Radiology Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1629807771
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DR. G'S URGENT RADIOLOGY
Practice address
1383 S Military TRL
Deerfield Beach, FL 33442-7634
Phone
(954) 928-9622
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mylissa Graber, MD
Title
Owner
Phone
(561) 330-9363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1383 S Military TRL
Deerfield Beach, FL 33442-7634

Mailing address

1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone (954) 928-9622

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2266567Dr G'S Urgent Care Deerfield LLC1383 S Military Trail, Deerfield Beach, FL 33442Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Locations

1383 S Military Trl
Deerfield Beach, FL 33442
Phone (561) 330-9363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1629807771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456384",
            "telephone_number": "954-928-9622",
            "fax_number": "561-274-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 S MILITARY TRL",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427634",
            "telephone_number": "954-928-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. G'S URGENT RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "MYLISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-330-9363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.