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Contact Information

MIDSTATE RADIOLOGY ASSOCIATES, LLC
435 LEWIS AVE
MERIDEN, CT06451
 Phone: 203-949-2700
 Fax: 203-949-2712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MIDSTATE RADIOLOGY ASSOCIATES, LLC

NPI Number 1578518999
LBN Legal business name MIDSTATE RADIOLOGY ASSOCIATES, LLC
Authorized official GARY DEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 08/13/2019 - About 7 years ago
Identifiers n/a
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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