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NORWICH DIAGNOSTIC IMAGING ASSOCIATES P.C NPI 1407833908


NPI Information

NPI: 1407833908
Provider Name: NORWICH DIAGNOSTIC IMAGING ASSOCIATES P.C
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 07D0967046

Address:
326 WASHINGTON ST
NORWICH, CT
ZIP 06360
Phone: (860) 889-8331
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NORWICH DIAGNOSTIC IMAGING ASSOCIATES P.C is a diagnostic radiology radiology in Norwich, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORWICH DIAGNOSTIC IMAGING ASSOCIATES P.C NPI is 1407833908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

326 WASHINGTON ST
NORWICH, CT
ZIP 06360-740
Phone: (860) 889-8331

The provider's authorized official is Phillip Kohanski .
The authorized official title is President and has the following contact phone number (800) 927-0002.

The CLIA number assigned to this NPI record is 07D0967046 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 2/14/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004089448MEDICAIDCONNECTICUT

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: 4/28/2024

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