Gulf Coast Health System Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GULF COAST HEALTH SYSTEM IMAGING, LLC

Practice address

13137 Sorrento Rd
Pensacola, FL 32507

Phone

(615) 974-1972

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Ryan D Brown, JD

Title

General Counsel

Phone

(615) 974-1972

Specialties & licenses 3

Addresses

Other names 1

• Optimal Imaging Sacred Heart Health System Doing business as

Tax ID family

Gulf Coast Health System Imaging 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.

• Gulf Coast Health System Imaging, LLC

  • Radiology Clinic/Center
  • Gulf Breeze, FL
  • NPI 1497296081
  NPD tax ID

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1750822342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 WESTGATE CIR STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278195",
            "telephone_number": "615-974-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13137 SORRENTO RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32507",
            "telephone_number": "615-974-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST HEALTH SYSTEM IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-974-1972",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Imaging Sacred Heart Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 15, 2017; 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.