Active NPI
LGR Imaging, PC
- Specialist
- West Seneca, NY
National Provider Identifier
1083884142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 134789
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02271878 | Medicaid | NY | |
| 000515012008 | Other | BLUE CROSS & BLUE SHIELD OF WNY | |
| 5607927 | Other | NY | INDEPENDENT HEALTH |
| 00030041901 | Other | NY | UNIVERA |
| 000515012006 | Other | NY | BLUE CROSS & BLUE SHIED OF WNY |
| 000515012007 | Other | NY | BLUE CROSS & BLUE SHIELD OF WNY |
Other names 1
- PHYSICIANS IMAGING, PC
National Provider Directory
National Provider DirectoryLocations
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.