Organization
TOLLAND IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS P MCCONVILLE (PRESIDENT)
(860) 533-3429
Entity
Organization
Contact information
Practice address
6 FIELDSTONE CMNS, SUITE E, TOLLAND, CT 06084-3419
(860) 896-4848
(860) 896-4849
Mailing address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 246-6589
(860) 783-5733
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001571
—
CT
01
—
15MRI0179CT01
ANTHEM BC/BS
CT
01
—
786889
CONNECTICARE
—
Enumeration date
09/05/2008
Last updated
09/05/2008
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