| Organization Name: | GSI DIAGNOSTIC SERVICES LLC |
| NPI Number: | 1003056714 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK WEISBERG (ADMINISTRATOR/OWNER) |
| Mailing Address: | 315 Elmora Ave Elizabeth |
| State: | NJ US |
| Postal Code: | 072081383 |
| Phone Number: | 9082821100 |
| Fax Number: | 9082829090 |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 02/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |