DIAGNOSTIC IMAGING ASSOCIATES LLC NPI 1336161918

NPI Information

NPI: 1336161918
Provider Name: DIAGNOSTIC IMAGING ASSOCIATES LLC

Other Name: DIAGNOSTIC IMAGING ASSOCIATES

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

Specialization: Radiology

Address:
1389 WEST MAIN STREET
WATERBURY, CT
ZIP 06708
Phone: (203) 574-1311
Get Directions

DIAGNOSTIC IMAGING ASSOCIATES LLC is a radiology clinic center in Waterbury, CT. DIAGNOSTIC IMAGING ASSOCIATES LLC NPI is 1336161918. The provider is registered as an organization entity type.
The provider Other Name Is Diagnostic Imaging Associates.

The provider's business location address is:

1389 WEST MAIN STREET
WATERBURY, CT
ZIP 06708
Phone: (203) 574-1311

The provider's authorized official is Robert Gumbardo .
The authorized official title is Medical Director and has the following contact phone number (203) 264-7999.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 10/28/2013.

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	261QR0206X	Clinic/Center	Radiology, Mammography			No
2	261QR0200X	Clinic/Center	Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004068623	MEDICAID	CONNECTICUT
2	C02279	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »