Provider Demographics
NPI:1548353220
Name:GLOBE IMAGING INC
Entity type:Organization
Organization Name:GLOBE IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOOMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-446-8786
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-0366
Mailing Address - Country:US
Mailing Address - Phone:312-446-8786
Mailing Address - Fax:708-887-5522
Practice Address - Street 1:4745 LAKE TRAIL DR
Practice Address - Street 2:APT 1A
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-1430
Practice Address - Country:US
Practice Address - Phone:312-446-8786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty