GHC Imaging – Mobile Radiology Clinic/Center, NPI 1780240895

GHC Imaging is a healthcare provider. based in Poplar bluff, Missouri. specializing in Mobile Radiology Clinic/Center. The NPI Number for GHC Imaging is 1780240895

Main info

Organization
Name
GHC Imaging
NPI
1780240895
Phone
(573) 727-5600
Address
1717 W MAUD ST
Authorized Official
MR. ETAI SOOLIMAN CEO
Enumeration Date
14 May 2019
Last Update Date
8 November 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness80
Years active:7State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for GHC Imaging

  • West Maud Street, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639014003

    Phone: (573) 727-5600

    Fax: (573) 785-0753

    Type: Mailing

  • 2211, Roy Road, Tyler, Smith County, Texas, 75707, United States

    TYLER, TX 757076275

    Phone: (800) 879-2343

    Fax: (573) 785-0753

    Type: Location

  • 8235 CHRISTIANA AVE

    SKOKIE, IL 600762910

    Phone: (224) 337-1000

    Fax: (224) 337-0197

    Type: Mailing

  • 2500 FARM ROAD 79 STE 2

    PARIS, TX 754604427

    Phone: (800) 879-2343

    Fax: (573) 785-0753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (679 days ago).

Enrollment records

1

Earliest due date

2024-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20190708002203OIndependent Diagnostic Testing Facility (Idtf)TX2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93971Ultrasound study of one arm or leg veins with compression and maneuvers674392$0
93970Ultrasound study of arm or leg veins with compression and maneuvers302174$0
93925Ultrasound of leg arteries or artery grafts273155$0
76700Complete ultrasound scan of abdomen190103$0
93926Ultrasound of one leg arteries or artery grafts177108$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

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Reviews

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Frequently asked questions

What is the registry number for GHC Imaging?
The registry entry for GHC Imaging shows NPI 1780240895.
Is GHC Imaging currently accepting referrals based on NPI status?
Registry metadata lists GHC Imaging as active.
What type of care does GHC Imaging provide?
GHC Imaging's profile centers on Mobile Radiology Clinic/Center. Clinical services aligned with this taxonomy classification.
Is GHC Imaging tied to Poplar Bluff, Missouri?
If you are local to Poplar Bluff, Missouri, GHC Imaging may be relevant to your search.
Who maintains GHC Imaging's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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