Organization
SOUTHERN CONNECTICUT IMAGING CENTERS LLC
Active
Other names
Whitney Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA R. BLANK (EVP BUSINESS PROCESS MANAGEMENT)
(949) 282-6000
Entity
Organization
Contact information
Practice address
2200 WHITNEY AVE, HAMDEN, CT 06518-3691
(203) 288-3068
(203) 288-3124
Mailing address
PO BOX 846044, BOSTON, MA 02284-6044
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04216322
—
CT
01
—
470001376
RAILROAD MEDICARE
CT
Enumeration date
04/19/2006
Last updated
11/17/2009
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