NPI 1366475766 · live from the CMS NPI Registry
Coastal Imaging LLC
Radiology, Diagnostic Radiology in Groton, CT. National Provider Identifier 1366475766, active.
NPI record
| NPI | 1366475766 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 565 Long Hill Rd, Groton, CT 06340 |
| Practice phone | 860-448-6094 |
| Enumerated | July 9, 2006 |
| Last updated | November 6, 2013 |
| Authorized official | Jay Duxin, Physician/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 033667 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.