Provider Demographics
NPI:1295171643
Name:GLOBAL IMAGING SPECIALISTS, LLC
Entity type:Organization
Organization Name:GLOBAL IMAGING SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRGUIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-720-7237
Mailing Address - Street 1:40946 US HIGHWAY 19 N STE 101
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-5446
Mailing Address - Country:US
Mailing Address - Phone:813-720-7237
Mailing Address - Fax:888-316-3013
Practice Address - Street 1:40946 US HIGHWAY 19 N STE 101
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-5446
Practice Address - Country:US
Practice Address - Phone:813-720-7237
Practice Address - Fax:888-316-3013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV00CCOtherBLUE CROSS
FL009148400Medicaid
FLHN226AMedicare PIN
AL10270G5233Medicare PIN