Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Imaging Center at Gloster Creek Village PLLC

Organization Diagnostic Radiology Physician · NPI 1417907536

Imaging Center at Gloster Creek Village PLLC provides Diagnostic Radiology Physician services in Tupelo, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 S Gloster St
Tupelo, MS 38801-4748
Phone: (662) 841-7880
Fax: (662) 821-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1417907536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Schaefer — Coo · (770) 300-0101
NPI enumeratedMay 11, 2006
Last updated in NPPESJuly 21, 2022
Mailing address320 S Gloster St, Tupelo, MS 38801-4748

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