Provider Demographics
NPI:1497989776
Name:GIMAG CORP
Entity Type:Organization
Organization Name:GIMAG CORP
Other - Org Name:GIMAG MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUBUSAYO
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:EKUNBOYEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-273-7700
Mailing Address - Street 1:4175 FIRST ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-4913
Mailing Address - Country:US
Mailing Address - Phone:925-273-7700
Mailing Address - Fax:925-273-7802
Practice Address - Street 1:4175 FIRST ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-4913
Practice Address - Country:US
Practice Address - Phone:925-273-7700
Practice Address - Fax:925-273-7802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies