MEDICAL DIAGNOSTIC IMAGING PLLC NPI 1760435291

NPI Information

NPI: 1760435291
Provider Name: MEDICAL DIAGNOSTIC IMAGING PLLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 33D2002115

Address:
14 RAYMOND AVE
POUGHKEEPSIE, NY
ZIP 12603
Phone: (845) 471-2848
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MEDICAL DIAGNOSTIC IMAGING PLLC is a radiology clinic center in Poughkeepsie, NY. MEDICAL DIAGNOSTIC IMAGING PLLC NPI is 1760435291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 RAYMOND AVE
POUGHKEEPSIE, NY
ZIP 12603-312
Phone: (845) 471-2848
Fax: (845) 790-1180

The provider's authorized official is Gary David Grossman .
The authorized official title is President and has the following contact phone number (845) 471-2848.

The CLIA number assigned to this NPI record is 33D2002115 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/26/2024.

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
1	174400000X	Specialist		186503	NEW YORK	No
2	261QR0200X	Clinic/Center	Radiology			Yes

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

NPI Synchronization or Removal

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