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Organization

LAKES RADIOLOGY PLLC

Active
Parent organization
LAKES RADIOLOGY
Other names
Clay Open MRI
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKES RADIOLOGY
Authorized official
IDDO NETANYAHU MD (PRESIDENT)
(315) 857-0094
Entity
Organization

Contact information

Practice address
8395 OSWEGO RD, BALDWINSVILLE, NY 13027-6801
(315) 857-0094
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 362-5285
(315) 445-2936

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Enumeration date
03/03/2006
Last updated
09/16/2010
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