DIAGNOSTIC IMAGING ASSOCIATES LLC; NPI #1336161918

Contact Information

DIAGNOSTIC IMAGING ASSOCIATES LLC

1389 WEST MAIN STREET
WATERBURY, CT 06708

Phone: 203-574-1311
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Radiology	261QR0200X	74	Radiation Therapy Center
Radiology, Mammography	261QR0206X

Indicates primary specialty

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NPI Profile & details for DIAGNOSTIC IMAGING ASSOCIATES LLC

NPI Number 1336161918

LBN Legal business name DIAGNOSTIC IMAGING ASSOCIATES LLC

Authorized official ROBERT GUMBARDO - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/24/2006

Last updated 10/28/2013 - About 13 years ago

Identifiers

Medicaid

004068623

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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