NPIMap

Organization Active NPI

Imaging Partners, LLC

  • Radiology Clinic/Center
  • Waterbury, CT
National Provider Identifier
1174574735
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
IMAGING PARTNERS, LLC
Practice address
134 Grandview Ave
Waterbury, CT 06708-2507
Phone
(203) 573-6200
Fax
(203) 574-0548
NPI assigned
May 16, 2006
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DIAGNOSTIC RADIOLOGY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Marco Verga, MDNPI 1689631947
Title
Medical Director
Phone
(203) 756-8911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

134 Grandview Ave
Waterbury, CT 06708-2507

Mailing address

134 Grandview Ave
Waterbury, CT 06708-2507
Phone (203) 573-6200

Other identifiers 2

IdentifierTypeStateIssuer
004215283MedicaidCO
470000014OtherCTMEDICARE PTAN

National Provider Directory

National Provider Directory
Part of
Diagnostic Radiology Assoc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

134 Grandview Ave
Ste 103
Waterbury, CT 06708
Phone (203) 573-6200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1174574735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082507",
            "telephone_number": "203-573-6200",
            "fax_number": "203-574-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082507",
            "telephone_number": "203-573-6200",
            "fax_number": "203-574-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "VERGA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-756-8911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004215283",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "470000014",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.