MIDDLEBURY RADIOLOGISTS PLLC NPI 1396857728

NPI Information

MIDDLEBURY RADIOLOGISTS, PLLC is a diagnostic radiology radiology in Middlebury, VT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MIDDLEBURY RADIOLOGISTS, PLLC NPI is 1396857728. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 PORTER DR
MIDDLEBURY, VT
ZIP 05753-423
Phone: (802) 388-8851
Fax: (802) 388-8821

The provider's authorized official is Stephen M. Koller .
The authorized official title is Managing Partner and has the following contact phone number (802) 388-8851.

The CLIA number assigned to this NPI record is 47D0677186 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/5/2015.

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:

Other Identifiers

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