Organization Active NPI

LGR Imaging, PC

  • Specialist
  • West Seneca, NY
National Provider Identifier
1083884142
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
134789 Issued in NY
Legal business name
LGR IMAGING, PC
Practice address
4154 Seneca Street
West Seneca, NY 14224-3053
Phone
(716) 677-0500
Fax
(716) 677-1800
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Lawrence G Rand, MD
Title
President
Phone
(716) 677-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 134789 NY Primary

Addresses

Primary practice location

4154 Seneca Street
West Seneca, NY 14224-3053

Mailing address

950A Union Rd
Suite 424
West Seneca, NY 14224-3481
Phone (716) 677-4162

Other identifiers 6

IdentifierTypeStateIssuer
02271878MedicaidNY
000515012008OtherBLUE CROSS & BLUE SHIELD OF WNY
5607927OtherNYINDEPENDENT HEALTH
00030041901OtherNYUNIVERA
000515012006OtherNYBLUE CROSS & BLUE SHIED OF WNY
000515012007OtherNYBLUE CROSS & BLUE SHIELD OF WNY

Other names 1

  • PHYSICIANS IMAGING, PC Other name

National Provider Directory

National Provider Directory

Locations

950A Union Rd
Ste 424
West Seneca, NY 14224

4154 Seneca St
West Seneca, NY 14224
Phone (716) 677-0500

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1083884142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950A UNION RD",
            "address_2": "SUITE 424",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243481",
            "telephone_number": "716-677-4162",
            "fax_number": "716-677-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 SENECA STREET",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243053",
            "telephone_number": "716-677-0500",
            "fax_number": "716-677-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGR IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-677-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "134789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02271878",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF WNY",
            "identifier": "000515012008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "5607927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030041901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIED OF WNY",
            "identifier": "000515012006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF WNY",
            "identifier": "000515012007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS IMAGING, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.