NPIMap

Organization Active NPI

Glades Imaging Center LLC

  • Mammography Clinic/Center
  • Belle Glade, FL
National Provider Identifier
1720123532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
PENDING Issued in FL
Legal business name
GLADES IMAGING CENTER LLC
Practice address
1200 S Main St
Suite 103
Belle Glade, FL 33430-7808
Phone
(561) 795-3330
Fax
(561) 795-1030
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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) 795-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X PENDING FL Primary

Addresses

Primary practice location

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

Mailing address

1200 S Main St
Suite 103
Belle Glade, FL 33430-7808
Phone (561) 795-3330

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720123532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S MAIN ST",
            "address_2": "SUITE 103",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334307808",
            "telephone_number": "561-795-3330",
            "fax_number": "561-795-1030"
        },
        {
            "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": "561-795-3330",
            "fax_number": "561-795-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADES IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "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": "561-795-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

  • 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.