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PARKLAND DIAGNOSTIC IMAGING PLLC NPI 1073590113


NPI Information

NPI: 1073590113
Provider Name: PARKLAND DIAGNOSTIC IMAGING, PLLC

Doing Business As: PARKLAND DIAGNOSTIC IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3055 SOUTHWESTERN BLVD
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 677-6736
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PARKLAND DIAGNOSTIC IMAGING, PLLC is a radiology clinic center in Orchard Park, NY. PARKLAND DIAGNOSTIC IMAGING, PLLC NPI is 1073590113. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkland Diagnostic Imaging.

The provider's business location address is:

3055 SOUTHWESTERN BLVD
ORCHARD PARK, NY
ZIP 14127-231
Phone: (716) 677-6736
Fax: (716) 677-6144

The provider's authorized official is Jeffrey Lieberman .
The authorized official title is Medical Director/radiologist and has the following contact phone number (631) 517-8006.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 2/23/2009.


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
1261QR0200XClinic/CenterRadiologyYes

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
102677205MEDICAIDNEW YORK
2AA1402MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3DG7385OTHERNEW YORKRR MEDICARE PIN

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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