Provider Demographics
NPI:1780137026
Name:GLOBAL MEDICAL DIAGNOSTICS INC
Entity type:Organization
Organization Name:GLOBAL MEDICAL DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:BILLER
Authorized Official - Phone:646-801-6367
Mailing Address - Street 1:272 DARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-2650
Mailing Address - Country:US
Mailing Address - Phone:646-801-6367
Mailing Address - Fax:718-761-3162
Practice Address - Street 1:4864 ARTHUR KILL RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2650
Practice Address - Country:US
Practice Address - Phone:646-801-6367
Practice Address - Fax:718-761-3162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier