Organization
FARMINGTON IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL HOUSH KOLLMORGEN RT (R) CT (DIRECTOR, MEDICAL STAFF OFFICE)
(860) 291-6517
Entity
Organization
Contact information
Practice address
399 FARMINGTON AVE LOWR 1, FARMINGTON, CT 06032-1937
(860) 289-3375
Mailing address
111 FOUNDERS PLZ STE 400, EAST HARTFORD, CT 06108-3240
(860) 289-3375
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
11/08/2019
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