Organization Active NPI

Adirondack Diagnostic Imaging of Queensbury

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Queensbury, NY
National Provider Identifier
1114933934
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
ADIRONDACK DIAGNOSTIC IMAGING OF QUEENSBURY
Practice address
375 Bay Rd
Queensbury, NY 12804-3012
Phone
(518) 792-1700
Fax
(518) 792-1711
NPI assigned
Aug 1, 2006
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Michael D. Green, M.D.
Title
President
Phone
(518) 373-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

375 Bay Rd
Queensbury, NY 12804-3012

Mailing address

632 Plank Rd
Suite 103
Clifton Park, NY 12065-2019
Phone (518) 373-2121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1114933934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 PLANK RD",
            "address_2": "SUITE 103",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652019",
            "telephone_number": "518-373-2121",
            "fax_number": "518-373-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043012",
            "telephone_number": "518-792-1700",
            "fax_number": "518-792-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK DIAGNOSTIC IMAGING OF QUEENSBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-373-2121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.