NPIMap

Organization Active NPI

Gemini Imaging Group, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Annapolis, MD
National Provider Identifier
1669868212
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
120204 Issued in MD
Legal business name
GEMINI IMAGING GROUP, INC
Practice address
1997 Annapolis Exchange Pkwy Ste 300
Annapolis, MD 21401-3273
Phone
(410) 972-4707
Fax
(410) 972-4701
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Mr. Victor M Bonney, RDCSNPI 1427414861
Title
Ceo
Phone
(410) 972-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 120204 MD Primary

Addresses

Primary practice location

1997 Annapolis Exchange Pkwy Ste 300
Annapolis, MD 21401-3273

Mailing address

1745 Shea Center Dr Ste 400
Highlands Ranch, CO 80129-1540
Phone (720) 344-4867

Other practice location 1

1745 Shea Center Dr Ste 400
Highlands Ranch, CO 80129-1540
Phone (720) 344-4867

National Provider Directory

National Provider Directory

Locations

1997 Annapolis Exchange Pkwy
Ste 362
Annapolis, MD 21401

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": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1669868212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 SHEA CENTER DR STE 400",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801291540",
            "telephone_number": "720-344-4867",
            "fax_number": "720-344-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 ANNAPOLIS EXCHANGE PKWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013273",
            "telephone_number": "410-972-4707",
            "fax_number": "410-972-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 Shea Center Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801291540",
            "country_code": "US",
            "telephone_number": "720-344-4867",
            "fax_number": "720-344-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEMINI IMAGING GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "BONNEY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-972-4707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MD",
            "license": "120204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.