Organization
SRA MEDICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDIE HAIER (BILLING MANAGER)
(316) 650-9030
Entity
Organization
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1000
Mailing address
PO BOX 247, ALBANY, NY 12201-0247
(316) 650-9030
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
05/22/2019
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