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EXECUTIVE MEDICAL IMAGING SERVICES PLLC NPI 1215105044


NPI Information

NPI: 1215105044
Provider Name: EXECUTIVE MEDICAL IMAGING SERVICES, PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
9 ROLLING RD
MILLER PLACE, NY
ZIP 11764
Phone: (631) 902-3074
Get Directions

EXECUTIVE MEDICAL IMAGING SERVICES, PLLC is a diagnostic radiology radiology in Miller Place, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EXECUTIVE MEDICAL IMAGING SERVICES, PLLC NPI is 1215105044. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 ROLLING RD
MILLER PLACE, NY
ZIP 11764-220
Phone: (631) 902-3074

The provider's authorized official is Frank Lombardo .
The authorized official title is Owner and has the following contact phone number (631) 902-3074.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 2/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology201466NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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