Organization
MEDICAL EVALUATORS INC
Active
Other names
Gulf Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAI BUI R.T. (MR)(R) (CEO)
(850) 784-0545
Entity
Organization
Contact information
Practice address
406 W 19TH ST, PANAMA CITY, FL 32405-4602
(850) 784-0545
(850) 215-4045
Mailing address
406 W 19TH ST, PANAMA CITY, FL 32405-4602
(850) 784-0545
(850) 215-4045
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC5703
FL
261QR0206X
Mammography Clinic/Center
HCC5703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057843601
—
FL
01
—
V2907
BLUECROSS BLUE SHIELD
FL
Enumeration date
10/13/2005
Last updated
12/20/2011
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