Lake Champlain Imaging PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LAKE CHAMPLAIN IMAGING PLLC

Practice address

675 State Route 3
Plattsburgh, NY 12901-6562

Phone

(518) 572-6333

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Anthony G Conti, M.D.NPI 1730146804

Title

Member

Phone

(518) 572-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, VT3 enrollments

Enrollment records 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Gabriel Conti, MD

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
  • NPI 1730146804

  NY, VT

  Medicare reassignment Authorized official
• Deborah Orlofsky, SLP

  • Speech-Language Pathologist
  • Plattsburgh, NY
  • NPI 1740324896

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1063253482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 STATE ROUTE 3 STE 105",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016561",
            "telephone_number": "518-699-9729",
            "fax_number": "518-699-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 STATE ROUTE 3",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016562",
            "telephone_number": "518-572-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHAMPLAIN IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "518-572-6333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Laforest, R.N.
• Mackenzie R Lahue
• Deborah Jean Lajti, TSHH, SLP-CCC
• Lake Champlain Cardiology Associates
• Lake Champlain Dentistry PC
• Lake Champlain OB/GYN, PC
• Lake Champlain Physician Services
• Lake City Primary Care PLLC
• Lake Front Dental Group PC
• Lake View Medtransport LLC

• All providers in Plattsburgh, NY
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.