Organization
GULF COAST HEALTH SYSTEM IMAGING, LLC
Active
Other names
Optimal Imaging Sacred Heart Health System
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D BROWN JD (GENERAL COUNSEL)
(615) 974-1972
Entity
Organization
Contact information
Practice address
13137 SORRENTO RD, PENSACOLA, FL 32507
(615) 974-1972
Mailing address
1642 WESTGATE CIR STE 202, BRENTWOOD, TN 37027-8195
(615) 974-1972
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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