MID-ISLAND MEDICAL IMAGING, P.C.; NPI #1396857843

Contact Information

MID-ISLAND MEDICAL IMAGING, P.C.

1643C ROUTE 112
MEDFORD, NY 11763

Phone: 631-758-1800
Fax: 631-758-8029
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for MID-ISLAND MEDICAL IMAGING, P.C.

NPI # 1396857843

LBN Legal business name MID-ISLAND MEDICAL IMAGING, P.C.

Authorized official ALEXANDRA PERKINS - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 05/02/2019 - About 7 years ago

Identifiers

License #

51016723

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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