NPI 1124004031 · live from the CMS NPI Registry
Connecticut Radiology Associates PC
Radiology, Diagnostic Radiology in Derby, CT. National Provider Identifier 1124004031, active.
NPI record
| NPI | 1124004031 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 300 Seymour Ave, Derby, CT 06418 |
| Practice phone | 203-735-8769 |
| Mailing address | Po Box 30231, Hartford, CT 06150 |
| Enumerated | December 22, 2005 |
| Last updated | August 22, 2020 |
| Authorized official | Laurie Margolies, Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | — (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.