Organization Active NPI

Housatonic Valley Radiological Associates PC

  • Physiological Laboratory
  • Danbury, CT
National Provider Identifier
1013152792
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
025510 Issued in CT
Legal business name
HOUSATONIC VALLEY RADIOLOGICAL ASSOCIATES PC
Practice address
67 Sand Pit Rd
Suite 105
Danbury, CT 06810-4032
Phone
(203) 797-1770
Fax
(203) 796-7839
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Conrad P Ehrlich, M.D.
Title
President
Phone
(203) 797-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 025510 CT Primary

Addresses

Primary practice location

67 Sand Pit Rd
Suite 105
Danbury, CT 06810-4032

Mailing address

67 Sand Pit Rd
Suite 105
Danbury, CT 06810-4032
Phone (203) 797-1770

National Provider Directory

National Provider Directory

Locations

67 Sand Pit Rd
Ste 105
Danbury, CT 06810
Phone (203) 797-1770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1013152792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 105",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-797-1770",
            "fax_number": "203-796-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 105",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-797-1770",
            "fax_number": "203-796-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSATONIC VALLEY RADIOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-797-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CT",
            "license": "025510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.