Organization
ADVANCED IMAGING SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRT FREDERICKSON MD (PRESIDENT)
(203) 426-3002
Entity
Organization
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(203) 426-3002
Mailing address
2 RIVERVIEW DR STE 104, DANBURY, CT 06810-6268
(203) 426-3002
(203) 917-3373
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
05/06/2025
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