DIAGNOSTIC IMAGING SERVICES OF CT, LLC (NPI# 1093760431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093760431 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC IMAGING SERVICES OF CT, LLC |
| Practice Address |
565 Long Hill Rd Groton CT 06340-4166 |
| Mailing Address |
101 N Plains Industrial Rd Wallingford CT 06492-2360 |
| Practice Telephone | 2039492700 |
| Practice Fax Number | 2039492712 |
| Mailing Telephone | 2039492700 |
| Mailing Fax Number | 2039492712 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | GARY DEE (OWNER) |
| Authorized Official Telephone | 2039492700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
565 LONG HILL RD |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063466779 | Jennifer Mullane Armstrong | Physical Therapist | 565 Long Hill Rd, Ste 3, Groton, CT 06340-4134 | 2006-05-19 |
| 1598211468 | Huan Zhang | Acupuncturist | 565 Long Hill Rd, Groton, CT 06340-4166 | 2016-08-30 |
| 1467624189 | Carolyn Jonne Groves | Naturopath | 565 Long Hill Rd, Groton, CT 06340-4166 | 2008-04-02 |
| 1265514525 | Steven B Nemeroff | Naturopath | 565 Long Hill Rd, Groton, CT 06340-4134 | 2006-10-19 |
| 1629098330 | Michael Thomas | Chiropractor | 565 Long Hill Rd, Groton, CT 06340-4134 | 2006-07-19 |
| 1770503492 | Joseph A Mascaro | Chiropractor | 565 Long Hill Rd, Groton, CT 06340-4134 | 2006-07-19 |
| 1043236599 | Warren M Geruso | Chiropractor | 565 Long Hill Rd, Groton, CT 06340-4134 | 2006-07-15 |
| 1588680078 | Advanced Back and Neck Care Center LLC | Chiropractor | 565 Long Hill Rd, Groton, CT 06340-4134 | 2006-07-15 |
| 1366475766 | Coastal Imaging LLC | Radiology | 565 Long Hill Rd, Groton, CT 06340-4166 | 2006-07-09 |
| 1245260330 | Lynn Borzillo | Acupuncturist | 565 Long Hill Rd, Groton, CT 06340-4166 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174581839 | Kristen Rae Grubb | Radiology | 41 Leeward Ln, Groton, CT 06340-4876 | 2006-05-03 |
| 1861502817 | Sarojini Bhide Hayne | Radiology | Naval Ambulatory Care Center, Route 12 Bldg 449 Attn Professional Affairs, Groton, CT 06349-5600 | 2006-08-30 |
| 1366475766 | Coastal Imaging LLC | Radiology | 565 Long Hill Rd, Groton, CT 06340-4166 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
| 1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.