# SOUTH UTICA DIGITAL IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477821254
- **Authorized official:** DR. TIMOTHY JOSEPH DELMEDICO DC (PRESIDENT)
- **Authorized official phone:** (315) 797-1908

## Contact information

- **Practice address:** 2709 GENESEE ST, SUITE 103, UTICA, NY 13501-6222
- **Practice address phone:** (315) 797-1908
- **Practice address fax:** (315) 797-1193
- **Mailing address:** 2709 GENESEE ST, SUITE 103, UTICA, NY 13501-6222
- **Mailing address phone:** (315) 797-1908
- **Mailing address fax:** (315) 797-1193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | X010285 | NY | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 12/07/2011