LAKES REGION RADIOLOGY PA NPI 1669495982

NPI Information

LAKES REGION RADIOLOGY PA is a diagnostic radiology radiology in Laconia, NH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LAKES REGION RADIOLOGY PA NPI is 1669495982. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

87 SPRING ST
UNIT 101
LACONIA, NH
ZIP 03246
Phone: (603) 524-3211
Fax: (603) 524-0089

The provider's authorized official is James Bronson .
The authorized official title is Treasurer and has the following contact phone number (603) 524-3211.

The CLIA number assigned to this NPI record is 30D2113863 - other - community mental health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 1/21/2020.

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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