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GREAT LAKES IMAGING S C
NPI 1407406911
Radiology - Diagnostic Radiology in El Segundo, CA

Active since September 17, 2019
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245(424) 290-8004 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Imaging S C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES IMAGING S C (NPI 1407406911) is a healthcare organization registered as a diagnostic radiology in El Segundo, California and active in the NPI registry since September 2019. The organization lists Keegan Scanlon, Vice President, as its authorized official.

NPPES Registry Identity

NPI1407406911
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGREAT LAKES IMAGING S C
Location Address2330 UTAH AVE STE 200El Segundo, CA 90245-4817
Mailing Address13333 Northwest Fwy Ste 540Houston, TX 77040-6166 · (561) 366-2002
Phone(424) 290-8004
Organization SubpartNo
Authorized OfficialKeegan ScanlonVice President · (424) 354-8724
Enumeration DateSeptember 17, 2019
✔ NPI 1407406911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2330 UTAH AVE STE 200, El Segundo, CA 90245
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAM WASSEF HANNA
Radiology (Diagnostic Radiology)
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (281) 766-0959
RACHEL SPATA ARNP
Nurse Practitioner
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (424) 290-8004
NICHOLAS D'ALESIO DO, MPH
Radiology (Diagnostic Radiology)
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (281) 766-0959
RAINIER RADIOLOGY, PC
Radiology (Diagnostic Radiology)
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (424) 218-9368
DR. DAVID LEWIS LAMAR M.D.
Radiology (Diagnostic Radiology)
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (281) 766-0959
NISHA RAO MD
Radiology (Diagnostic Radiology)
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (281) 766-0959
DUSTIN LEE MEYER DO
Radiology (Diagnostic Radiology)
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (281) 766-0959
CHRISTOPHER TOURNADE MD
Radiology (Diagnostic Radiology)
2330 UTAH AVE STE 200
EL SEGUNDO, CA 90245
Los Angeles County (281) 766-0959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Imaging S C's NPI number?

The NPI number for Great Lakes Imaging S C is 1407406911. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Great Lakes Imaging S C located?

Great Lakes Imaging S C is located at 2330 Utah Ave Ste 200, El Segundo, CA 90245. The listed phone number is (424) 290-8004.

What is Great Lakes Imaging S C's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Great Lakes Imaging S C was last updated on September 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.