GREAT LAKES ERIE MEDICAL IMAGING LLC NPI 1972973345

NPI Information

GREAT LAKES ERIE MEDICAL IMAGING LLC is a diagnostic radiology radiology in Buffalo, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GREAT LAKES ERIE MEDICAL IMAGING LLC NPI is 1972973345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

462 GRIDER ST
BUFFALO, NY
ZIP 14215-021
Phone: (716) 898-3000

The provider's authorized official is Sarah Glenn-smith .
The authorized official title is Chief Executive Officer and has the following contact phone number (716) 836-4646.

The CLIA number assigned to this NPI record is 33D2018926 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2015 and was last updated on 9/29/2015.

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:

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