DIAGNOSTIC IMAGING OF SOUTHBURY – NPI #1245252824
Clinic/Center

DIAGNOSTIC IMAGING OF SOUTHBURY is an AHC clinic located in SOUTHBURY, CT. NPPES has assigned the NPI number 1245252824 to DIAGNOSTIC IMAGING OF SOUTHBURY on July 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 13 years ago on Jun 06, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIAGNOSTIC IMAGING OF SOUTHBURY below.

NPI Profile for
DIAGNOSTIC IMAGING OF SOUTHBURY

NPI Number
1245252824
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIAGNOSTIC IMAGING OF SOUTHBURY
Primary location
385 MAIN ST SOUTH
NVRA UNION SQUARE BLDG 2
SOUTHBURY, CT 06488
Phone: (203) 264-7999 Fax: (203) 264-7477
Mailing address
Same as primary location
Organization Subpart
Yes - DIAGNOSTIC IMAGING OF SOUTHBURY is subpart of another organization.
Authorized Official
ROBERT GUMBARDO
MEDICAL DIRECTOR
Phone: (203) 264-7999
Updated
Identifiers

Identifiers for DIAGNOSTIC IMAGING OF SOUTHBURY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCT004194718
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.