Organization
DIAGNOSTIC IMAGING OF SOUTHBURY
Active
Parent organization
NAUGATUCK VALLEY RADIOLOGICAL ASSOC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAUGATUCK VALLEY RADIOLOGICAL ASSOC.
Authorized official
DR. ROBERT GUMBARDO MD (MEDICAL DIRECTOR)
(203) 264-7999
Entity
Organization
Contact information
Practice address
385 MAIN ST SOUTH, NVRA UNION SQUARE BLDG 2, SOUTHBURY, CT 06488
(203) 264-7999
(203) 264-7477
Mailing address
385 MAIN ST SOUTH, NVRA UNION SQUARE BLDG #1, SOUTHBURY, CT 06488
(203) 264-7999
(203) 264-7477
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004194718
—
CT
Enumeration date
07/24/2006
Last updated
06/06/2013
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