Great Lakes Imaging S C
NPI #1407406911 in El Segundo, California
Provider Information
- NPI Number
- 1407406911
- Entity Type
- Organization
- Organization Name
- Great Lakes Imaging S C
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Sep 17, 2019
- Last Updated
- Sep 17, 2019
Practice Location
- Address
- 2330 UTAH AVE STE 200
- City
- El Segundo
- State
- California
- ZIP Code
- 90245-4817
- Phone
- (424) 290-8004
Authorized Official
- Name
- KEEGAN SCANLON
- Title
- VICE PRESIDENT
- Phone
- (424) 354-8724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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