# CLAY CT, LLC

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

## Provider details

- **NPI number:** 1790953891
- **Authorized official:** JOHN SHARP (MANAGER)
- **Authorized official phone:** (315) 857-0094

## Contact information

- **Practice address:** 8395 OSWEGO RD, BALDWINSVILLE, NY 13027-6801
- **Practice address phone:** (315) 857-0094
- **Mailing address:** PO BOX 2004, EAST SYRACUSE, NY 13057-4504
- **Mailing address phone:** (315) 362-5285
- **Mailing address fax:** (315) 445-2936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 02/12/2008