Organization
IMAGING PARTNERS, LLC
Active
Parent organization
DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC
Authorized official
MARCO VERGA MD (MEDICAL DIRECTOR)
(203) 756-8911
Entity
Organization
Contact information
Practice address
134 GRANDVIEW AVE, WATERBURY, CT 06708-2507
(203) 573-6200
(203) 574-0548
Mailing address
134 GRANDVIEW AVE, WATERBURY, CT 06708-2507
(203) 573-6200
(203) 574-0548
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004215283
—
CO
01
—
470000014
MEDICARE PTAN
CT
Enumeration date
05/16/2006
Last updated
04/24/2013
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