NPI 1144404948 · live from the CMS NPI Registry
Lara Bryan-Rest, M.D.
Radiology, Diagnostic Radiology in Manchester, CT. National Provider Identifier 1144404948, active.
NPI record
| NPI | 1144404948 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 341 E Center St, #141, Manchester, CT 06040 |
| Practice phone | 860-646-1222 |
| Enumerated | December 28, 2007 |
| Last updated | February 11, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 048698 (CT) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 048698 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.