NPI 1396857728 · live from the CMS NPI Registry
Middlebury Radiologists, PLLC
Radiology, Diagnostic Radiology in Middlebury, VT. National Provider Identifier 1396857728, active.
NPI record
| NPI | 1396857728 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 115 Porter Dr, Middlebury, VT 05753 |
| Practice phone | 802-388-8851 |
| Mailing address | 1119 Basin Harbor Rd, Bridport, VT 05734 |
| Enumerated | August 31, 2006 |
| Last updated | November 5, 2015 |
| Authorized official | Stephen Koller, Managing Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.