Organization
PRESTIGE DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J THOMAS JR. (OWNER)
(203) 627-7478
Entity
Organization
Contact information
Practice address
60 YOWAGO AVE, BRANFORD, CT 06405-5543
(203) 627-7478
Mailing address
60 YOWAGO AVE, BRANFORD, CT 06405-5543
(203) 627-7478
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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