MADISON RADIOLOGY PC NPI 1457382855

NPI Information

  • NPI: 1457382855
  • Provider Name: MADISON RADIOLOGY PC
  • Classification: Clinic/Center - 261QR0206X
  • Specialization: Radiology, Mammography
  • Entity Type: Organization
  • Doing Business As: OLD LYME RADIOLOGY
  • Address: 2 SAMSON ROCK DR
    MADISON, CT
    ZIP 06443
  • Phone: (203) 245-7351

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NPI Details

MADISON RADIOLOGY PC is a radiology and mammography clinic center in Madison, CT. MADISON RADIOLOGY PC NPI is 1457382855. The provider is registered as an organization entity type.
The provider Is Doing Business As Old Lyme Radiology.

The provider's business location address is:

2 SAMSON ROCK DR
MADISON, CT
ZIP 06443-998
Phone: (203) 245-7351
Fax: (203) 245-8838

The provider's authorized official is Mary Walby .
The authorized official title is Office Manager and has the following contact phone number (203) 245-7351.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/18/2008.

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
1261QR0206XClinic/CenterRadiology, Mammography02643CONNECTICUTYes

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: 11/21/2025

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