Great Lakes Imaging S C
NPI 1407406911ActiveOrganization· Radiology, Diagnostic Radiology· El Segundo, CA
Radiology, Diagnostic Radiology in El Segundo, California, registered in NPPES in September 2019. The authorized official on file is Keegan Scanlon, Vice President.
Overview
| NPI | 1407406911 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2019 |
| Last updated in NPPES | Sep 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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