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Great Lakes Imaging S C
Diagnostic Radiology Physician in El Segundo, California
NPI 1407406911

Great Lakes Imaging S C is a Diagnostic Radiology Physician based in Houston, CA and is specialized in Diagnostic Radiology. Great Lakes Imaging S C practices in El Segundo, CA. The NPI Number for Great Lakes Imaging S C is 1407406911 and holds a License No. (California).

The current practice location address for Great Lakes Imaging S C is 2330 Utah Ave Ste 200, El Segundo, CA and can be reached out via phone at 424-290-8004.

Location: 2330 Utah Ave Ste 200, El Segundo, CA, 77040-6166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407406911
Provider Name
Great Lakes Imaging S C
Credential
Provider Entity Type
Organization
Address
2330 Utah Ave Ste 200, El Segundo, CA, 77040-6166
Phone Number
424-290-8004
Fax Number
Provider Enumeration Date
09/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2330 Utah Ave Ste 200
City
El Segundo
State
California
Zip
90245-4817
Phone Number
424-290-8004
Fax Number
person
Provider Business Mailing Address Details
Address
2330 Utah Ave Ste 200
City
El Segundo
State
California
Zip
90245-4817
Phone Number
424-290-8004
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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