Provider Demographics
NPI:1003212267
Name:GLOBAL DIAGNOSTIC IMAGING CENTERS
Entity Type:Organization
Organization Name:GLOBAL DIAGNOSTIC IMAGING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMSIR
Authorized Official - Middle Name:
Authorized Official - Last Name:CELEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-994-4243
Mailing Address - Street 1:6349 BEACH BLVD
Mailing Address - Street 2:STE 2A
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-2707
Mailing Address - Country:US
Mailing Address - Phone:904-994-4243
Mailing Address - Fax:904-721-1914
Practice Address - Street 1:6349 BEACH BLVD
Practice Address - Street 2:STE 2A
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-2707
Practice Address - Country:US
Practice Address - Phone:904-994-4243
Practice Address - Fax:904-721-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty