GENESIS INTERNATIONAL MEDICAL SERVICES LLC NPI 1750647780

NPI Information

NPI: 1750647780
Provider Name: GENESIS INTERNATIONAL MEDICAL SERVICES LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
323 W OAK ST
SUITE A
KISSIMMEE, FL
ZIP 34741
Phone: (407) 468-3075
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GENESIS INTERNATIONAL MEDICAL SERVICES LLC is a diagnostic radiology radiology in Kissimmee, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GENESIS INTERNATIONAL MEDICAL SERVICES LLC NPI is 1750647780. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

323 W OAK ST
SUITE A
KISSIMMEE, FL
ZIP 34741-421
Phone: (407) 468-3075

The provider's authorized official is Dale C Newton .
The authorized official title is President/ Medical Director and has the following contact phone number (813) 389-7682.

The enumeration date for this NPI number is 4/3/2012 and was last updated on 5/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	ME50820	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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