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PRESTIGE DIAGNOSTIC IMAGING LLC NPI 1700330883


NPI Information

NPI: 1700330883
Provider Name: PRESTIGE DIAGNOSTIC IMAGING LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
60 YOWAGO AVE
BRANFORD, CT
ZIP 06405
Phone: (203) 627-7478
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PRESTIGE DIAGNOSTIC IMAGING LLC is a radiology and mobile clinic center in Branford, CT. PRESTIGE DIAGNOSTIC IMAGING LLC NPI is 1700330883. The provider is registered as an organization entity type.

The provider's business location address is:

60 YOWAGO AVE
BRANFORD, CT
ZIP 06405-543
Phone: (203) 627-7478

The provider's authorized official is Joseph J Thomas .
The authorized official title is Owner and has the following contact phone number (203) 627-7478.

The enumeration date for this NPI number is 8/7/2016 and was last updated on 8/7/2016.


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
1261QR0200XClinic/CenterRadiologyNo
2261QR0208XClinic/CenterRadiology, MobileYes

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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