Great Lakes Imaging S C
NPI 1407406911 · Diagnostic Radiology Physician · El Segundo, CA
Great Lakes Imaging S C is a Diagnostic Radiology Physician organization in El Segundo, CA (NPI 1407406911).
Provider details
- NPI number
- 1407406911
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Keegan Scanlon, Vice President(424) 354-8724
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-17
- Last updated
- 2019-09-17
Frequently asked questions
- What is Great Lakes Imaging S C's NPI number?
- Great Lakes Imaging S C's National Provider Identifier (NPI) is 1407406911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Imaging S C?
- Great Lakes Imaging S C is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Imaging S C located?
- Great Lakes Imaging S C's practice location on file with NPPES is 2330 Utah Ave Ste 200, El Segundo, CA 90245-4817.
- What is Great Lakes Imaging S C's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Imaging S C is (424) 290-8004.
- Who is the authorized official for Great Lakes Imaging S C?
- The authorized official listed on Great Lakes Imaging S C's NPPES record is Keegan Scanlon, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Imaging S C's NPI active?
- Yes — Great Lakes Imaging S C's NPI (1407406911) is active in the NPPES registry as of the last update on 2019-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.