SOUTHERN CONNECTICUT IMAGING CENTERS, LLC


Address: 2543 Dixwell Ave Ste 100, Hamden, CT 06514-1860
Phone: 9492826026

SOUTHERN CONNECTICUT IMAGING CENTERS, LLC (NPI# 1699056135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699056135
Entity Type Organization
Organization Name SOUTHERN CONNECTICUT IMAGING CENTERS, LLC
Other Organization Name WHITNEY IMAGING - WEST
Practice Address 2543 Dixwell Ave Ste 100
Hamden
CT 06514-1860
Mailing Address 26250 Enterprise Ct
Suite 100
Lake Forest
CA 92630-8406
Practice Telephone 9492826026
Mailing Telephone 9492826026
Enumeration Date 2011-08-29
Last Update Date 2011-08-29
Authorized Official Name PATRICIA R. BLANK (EVP- BUSINESS PROCESS MGT.)
Authorized Official Telephone 9492826000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Whitney Imaging - West Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467739540 Southern Connecticut Imaging Centers, LLC Clinic/Center 2200 Whitney Ave Ste 120, Hamden, CT 06518-3602 2011-11-03

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations SOUTHERN CONNECTICUT IMAGING CENTERS, LLC 5775 Wayzata Boulevard, Suite 400, St. Louis Park, MN 55416

Office Location

Street Address 2543 DIXWELL AVE STE 100
City HAMDEN
State CT
Zip Code 06514-1860

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NPI Name Taxonomy Address Enumeration
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1841781382 Clifford W. Beers Guidance Clinic Inc Clinic/Center 41 Marne St, Hamden, CT 06514 2018-05-21
1023513272 Ashley Nicole Miano Behavioral Analyst 60 Conway Parkway, Building 2b, Suite 110, Hamden, CT 06514 2018-03-29
1619485166 Hlc Partners LLC Clinic/Center 39 Marme St, Hamden, CT 06514 2018-01-18
1851832752 Kareise Caldwell Counselor 123 Pinerock, Hamden, CT 06514 2017-03-13
1417407255 Tempestt S Latham Dental Hygienist 158 Pearl Ave, Hamden, CT 06514 2016-10-05
1679945356 Carolina Nanetrivera Parrott Social Worker 180 Pine Rock Ave, Hamden, CT 06514 2015-10-21
1629446976 Ebun Aderibole Counselor 823 Pine Rock Ave, Hamden, CT 06514 2015-09-03
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700330883 Prestige Diagnostic Imaging LLC Clinic/Center 60 Yowago Ave, Branford, CT 06405-5543 2016-08-07
1093138828 Connecticut Womens Imaging Clinic/Center 105 Newtown Rd Ste C, Danbury, CT 06810-4194 2014-01-30
1740387182 Western Connecticut Health Network Affiliates, Inc. Clinic/Center 901 Ethan Allen Highway, Suite 104, Ridgefield, CT 06877 2006-09-20
1043232622 Naugatuck Diagnostic Imaging Clinic/Center 305 Church Street, Naugatuck, CT 06770 2006-07-24
1639113319 Echn Wellness Services, Inc. Clinic/Center 2800 Tamarack Drive, Suite 001, South Windsor, CT 06074 2006-06-15
1023062502 Western Connecticut Health Network Affiliates, Inc. Clinic/Center 20 Germantown Road, Danbury, CT 06810 2006-05-20
1154810828 Sanitas of Connecticut LLC Clinic/Center 4551 Main St, Bridgeport, CT 06606-1818 2018-05-08
1407234149 Clinisanitas, PC Clinic/Center 100 Boston Post Rd, Orange, CT 06477-3233 2015-05-14
1821402306 New York Society for The Relief of The Ruptured and Crippled Clinic/Center 1 Blachley Rd, Hss Stamford Outpatient Center, Stamford, CT 06902-0002 2014-06-12
1477715548 Grovehill Medical Center, PC Clinic/Center 300 Kensington Ave, New Britain, CT 06051-3916 2008-06-30
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Competitor

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City HAMDEN
Zip Code 06514

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Dataset Information

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.

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