Organization
UNIVERSITY MEDICAL IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M MENKE (CONTROLLER)
(585) 275-5969
Entity
Organization
Contact information
Practice address
4901 LAC DE VILLE BLVD, SUITE 140, ROCHESTER, NY 14618-5647
(585) 341-9065
Mailing address
4901 LAC DE VILLE BLVD, SUITE 140, ROCHESTER, NY 14618-5647
(585) 341-9065
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253965
—
NY
Enumeration date
06/11/2006
Last updated
08/22/2020
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