Organization
GCC IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MO SOULATI (BILLING MANAGER)
(310) 412-8181
Entity
Organization
Contact information
Practice address
633 AERICK ST, # 105, INGLEWOOD, CA 90301-1978
(310) 412-8181
(310) 412-9299
Mailing address
633 AERICK ST, # 105, INGLEWOOD, CA 90301-1978
(310) 412-8181
(310) 412-9299
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
7280-19
CA
2471V0105X
Vascular Sonography Radiologic Technologist
7280-19
CA
291U00000X
Clinical Medical Laboratory
CLF336330
CA
Other
Enumeration date
05/31/2005
Last updated
08/14/2013
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