Organization
CC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ANN CROWDER (OWNER)
(585) 746-7078
Entity
Organization
Contact information
Practice address
174 STRAUB RD, ROCHESTER, NY 14626-4254
(585) 746-7078
Mailing address
174 STRAUB RD, ROCHESTER, NY 14626-4254
(585) 746-7078
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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