SOUTHERN CONNECTICUT IMAGING CENTERS LLC (NPI# 1851356919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851356919 |
Entity Type | Organization |
Organization Name | SOUTHERN CONNECTICUT IMAGING CENTERS LLC |
Other Organization Name | WHITNEY IMAGING CENTER |
Practice Address |
2200 Whitney Ave Hamden CT 06518-3691 |
Mailing Address |
Po Box 846044 Boston MA 02284-6044 |
Practice Telephone | 2032883068 |
Practice Fax Number | 2032883124 |
Enumeration Date | 2006-04-19 |
Last Update Date | 2009-11-17 |
Authorized Official Name | MS. PATRICIA R. BLANK (EVP BUSINESS PROCESS MANAGEMENT) |
Authorized Official Telephone | 9492826000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 04216322 | 05 | |
CT | RAILROAD MEDICARE | 470001376 | 01 |
Other Name | Type Code |
---|---|
Whitney Imaging Center | Doing Business As Name - Organization |
Street Address |
2200 WHITNEY AVE |
City | HAMDEN |
State | CT |
Zip Code | 06518-3691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750382156 | Anesthesia Services of Meriden PC | Anesthesiology | 2200 Whitney Ave, Ste 310, Hamden, CT 06518-3691 | 2005-08-09 |
1366969065 | Cristina Perez | Nurse Practitioner | 2200 Whitney Ave, Hamden, CT 06518-3691 | 2017-08-24 |
1134673957 | Endoscopy Center of Connecticut Anesthesia | Anesthesiology | 2200 Whitney Ave, Suite 380, Hamden, CT 06518-3691 | 2016-08-10 |
1023488095 | Christine Salamida | Nurse Practitioner | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2015-10-02 |
1487039525 | New Haven Radiology Associates, P.C. | Radiology | 2200 Whitney Ave, Suite 120, Hamden, CT 06518-3691 | 2015-07-29 |
1881078699 | Connecticut Orthopaedic Specialists, PC | Internal Medicine | 2200 Whitney Ave, Suite 170, Hamden, CT 06518-3691 | 2015-07-13 |
1053711200 | Samantha Radin | Dietitian, Registered | 2200 Whitney Ave, Suite 180, Hamden, CT 06518-3691 | 2014-08-25 |
1356757686 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2014-07-08 |
1902211154 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 2200 Whitney Ave, Suite 270, Hamden, CT 06518-3691 | 2014-06-26 |
1366876476 | Michael J Selmont | Physician Assistant | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3691 | 2013-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
Find all providers in zip 06518 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568883791 | Physicians Ancillary Services LLC | Physiological Laboratory | 1090 Elm St Ste 200, Rocky Hill, CT 06067-1849 | 2013-12-13 |
1952352478 | Raytel Cardiac Services, Inc. | Physiological Laboratory | 29 Griffin Rd S Ste 35, Bloomfield, CT 06002 | 2006-05-12 |
1245295401 | Greater Waterbury Imaging Center Limited Partnership | Physiological Laboratory | 68 Robbins St, Waterbury, CT 06708-2613 | 2006-04-19 |
1851740682 | Braincare, LLC | Physiological Laboratory | 15 N Main St, Ste 100, West Hartford, CT 06107-1974 | 2016-06-13 |
1396120499 | Hvra of Danbury, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-30 |
1386029742 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-07-28 |
1992180350 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-28 |
1376836973 | Logz's LLC | Physiological Laboratory | 39 New London Tpke, Suite 325, Glastonbury, CT 06033-2061 | 2011-05-16 |
1013152792 | Housatonic Valley Radiological Associates PC | Physiological Laboratory | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-12-09 |
1922151695 | Healthcenter Imaging of Fairfield County LLC | Physiological Laboratory | 999 Silver Ln, Suite 1b, Trumbull, CT 06611-5343 | 2007-01-18 |
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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.