Gulf Islands Medical Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GULF ISLANDS MEDICAL IMAGING, LLC

Practice address

910 Royce St
Pensacola, FL 32503-2464

Phone

(448) 202-1580

NPI assigned

Apr 10, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tena Wright, RT (R)(CT)(M)(BD)NPI 1316708258

Title

Owner

Phone

(448) 202-1580

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tena Kerley Wright

  • Radiologic Technologist
  • Pensacola, FL
  • NPI 1316708258
  NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1740033695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ROYCE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ROYCE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032464",
            "telephone_number": "448-202-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF ISLANDS MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "448-202-1580",
        "authorized_official_credential": "RT (R)(CT)(M)(BD)"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Speech Language Services, PLLC
• Gulf Coast Surgical Oncology PL
• Gulf Coast Therapy and Counseling, LLC
• Gulf Coast Therapy Group, LLC
• Gulf Dunes Eye Care LLC
• Gulf Medical Services, Inc.
• Gulf Region Radiation Oncology Centers
• Gulf Region Radiation Oncology Centers Inc
• Keosha Gulley
• Kimberly Kay Gullickson, AU.D. CCC-A

• Radiology Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.