National Provider Identifier Database

JEFFERSON RADIOLOGY PC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JEFFERSON RADIOLOGY, PC
80 SEYMOUR ST
HARTFORD, CT06102-8000
Phone: 860-289-3375
Fax: 860-290-4108
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Neuroradiology 2085N0700X
Nuclear Medicine 207U00000X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for JEFFERSON RADIOLOGY, PC

NPI Number 1396795951
Legal business name
LBN
JEFFERSON RADIOLOGY, PC
Authorized official BLAKE GRAVES - (SR VP RCM)
Entity Organization
Organization subpart No
Enumeration date 05/12/2006
Last updated 04/30/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 004000295

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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