GLADES IMAGING CENTER LLC (NPI# 1720123532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720123532 |
| Entity Type | Organization |
| Organization Name | GLADES IMAGING CENTER LLC |
| Practice Address |
1200 S Main St Suite 103 Belle Glade FL 33430-7808 |
| Practice Telephone | 5617953330 |
| Practice Fax Number | 5617951030 |
| Mailing Telephone | 5617953330 |
| Mailing Fax Number | 5617951030 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JORGE DANIEL GHIRAGOSSIAN (OWNER) |
| Authorized Official Telephone | 5617953330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
PENDING | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346349719 | Glades Imaging Center LLC | Radiology | 1200 S Main St, Suite 103, Belle Glade, FL 33430-7808 | 2006-09-22 |
| Street Address |
1200 S MAIN ST SUITE 103 |
| City | BELLE GLADE |
| State | FL |
| Zip Code | 33430-7808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760462386 | Martin Tracy Harland | Family Medicine | 1200 S Main St, Suite 200, Belle Glade, FL 33430-7808 | 2006-01-19 |
| 1144600867 | Chris Thompson P.a. | Chiropractor | 1200 S Main St, Suite 200, Belle Glade, FL 33430-7808 | 2015-06-08 |
| 1386820942 | Glades Primary Care LLC | Internal Medicine | 1200 S Main St, Suite 100, Belle Glade, FL 33430-7808 | 2008-01-14 |
| 1134202856 | Roderick Mckenzie | Physician Assistant | 1200 S Main St, Suite 200, Belle Glade, FL 33430-7808 | 2006-10-24 |
| 1346349719 | Glades Imaging Center LLC | Radiology | 1200 S Main St, Suite 103, Belle Glade, FL 33430-7808 | 2006-09-22 |
| 1992785513 | My Doctor Pa | Family Medicine | 1200 S Main St, Suite 200, Belle Glade, FL 33430-7808 | 2006-01-19 |
| 1235119868 | Cardio Pulmonary Resources, Inc. | Durable Medical Equipment & Medical Supplies | 1200 S Main St, Suite 200, Belle Glade, FL 33430-7808 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720474075 | District Clinic Holdings Inc | Clinic/Center | 38754 State Rd 80, Belle Glade, FL 33430 | 2015-04-14 |
| 1780934299 | Keyon Lamar Hodges | Driver | 636 Southeast 1st, Belle Glade, FL 33430 | 2012-09-12 |
| 1831481480 | Maria E Pearson | Registered Nurse | 5701 Shingle Creek Parkway, Suite 200, Minneapolis, MN 33430 | 2011-05-13 |
| 1356632145 | Reflections of Jupiter LLC | Clinic/Center | 306 Sw10 Th Street, Belle Glade, FL 33430 | 2011-04-27 |
| 1417289943 | Positive Black Investors of Properties,inc | Community Based Residential Treatment Facility, Mental Illness | 20 Poinana Drive, Apt.@20, Belle Glade, FL 33430 | 2010-02-09 |
| 1275789414 | Lakeshore Anesthesia, Inc. | Anesthesiology | 39200 Hooker Highway, Belle Glade, FL 33430 | 2008-08-07 |
| 1598824435 | Florida Rehabilitation Services | Physical Therapist | 1100 S Main Street, Suite 13, Belle Glade, FL 33430 | 2006-12-06 |
| 1508951922 | National Medical Care, Inc. | Clinic/Center | 933 S.e. 1st Street, Belle Glade, FL 33430 | 2006-10-03 |
| 1124123492 | Belle Glade Discount Pharmacy | Pharmacy | 1508 Sw Ave E, Belle Glade, FL 33430 | 2006-09-13 |
| 1699756312 | Rahat Abbas | Internal Medicine | 349 Nw 16th St, Suite 104, Belle Glade, FL 33430 | 2005-11-09 |
| Find all providers in zip 33430 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
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| 1508254228 | Lodin Health Imaging Inc | Clinic/Center | 114 -115 Medical Center Ave, Sebring, FL 33870 | 2015-01-05 |
| 1063847341 | North Broward Hospital District | Clinic/Center | 2300 N Commerce Pkwy Ste 110, Weston, FL 33326-3255 | 2013-09-05 |
| 1558617373 | Gables Mammography & Ultrasound Medical Group, Inc. | Clinic/Center | 31 Almeria Ave, Coral Gables, FL 33134-6118 | 2012-07-30 |
| 1093093726 | The Medical City,llc | Clinic/Center | 3595 W 20th Ave Ste 145, Hialeah, FL 33012-4537 | 2011-07-29 |
| 1609102003 | Care Diagnostics for Women, LLC | Clinic/Center | 2240 Nw 19th St, Boca Raton, FL 33431-8506 | 2009-10-20 |
| 1710124672 | Women's Mobile Medical Services, LLC | Clinic/Center | 8540 Black Mesa Dr, Orlando, FL 32829-8758 | 2009-01-14 |
| Find all providers with the same taxonomy | ||||
| City | BELLE GLADE |
| Zip Code | 33430 |
Please comment or provide details below to improve the information on GLADES IMAGING CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.