# K&A RADIOLOGIC TECHNOLOGY SERVICES INC

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

## Provider details

- **NPI number:** 1891789939
- **Authorized official:** MR. KENNETH C ANDREWS (PRESIDENT/OWNER)
- **Authorized official phone:** (315) 437-1622

## Contact information

- **Practice address:** 6400 COLLAMER ROAD, EAST SYRACUSE, NY 13057-1032
- **Practice address phone:** (315) 437-1622
- **Practice address fax:** (315) 437-3190
- **Mailing address:** 6400 COLLAMER ROAD, EAST SYRACUSE, NY 13057-1032
- **Mailing address phone:** (315) 437-1622
- **Mailing address fax:** (315) 437-3190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01676237 | — | NY |
| 05 | — | 01867596 | — | NY |
