Provider Demographics
NPI:1467570358
Name:IMAGING CENTER, PC
Entity Type:Organization
Organization Name:IMAGING CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:GALIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-778-5305
Mailing Address - Street 1:4500 SION FARM
Mailing Address - Street 2:SUITE 4B, ISLAND MEDICAL CTR.
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4423
Mailing Address - Country:US
Mailing Address - Phone:340-778-5305
Mailing Address - Fax:340-778-2778
Practice Address - Street 1:4500 SION FARM
Practice Address - Street 2:ISLAND MEDICAL CTR., STE 5
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4423
Practice Address - Country:US
Practice Address - Phone:340-778-5305
Practice Address - Fax:340-778-2778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI7842085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIE01339Medicare ID - Type UnspecifiedRADIOLOGY
VIG41322Medicare ID - Type UnspecifiedRADIOLOGY
VIF72607Medicare ID - Type UnspecifiedRADIOLOGY