Organization Active NPI

Carthage Medical Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Carthage, NY
National Provider Identifier
1184388902
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CARTHAGE MEDICAL IMAGING CONSULTANTS, PLLC
Practice address
1016 West Street
Carthage, NY 13619
Phone
(315) 491-0387
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Terri Colone
Title
Administrative Consultant
Phone
(315) 243-1057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1016 West Street
Carthage, NY 13619

Mailing address

110 Wesley St Unit 349
Manlius, NY 13104-4013

National Provider Directory

National Provider Directory

Locations

110 Wesley St
Unit 349
Manlius, NY 13104

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1184388902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WESLEY ST UNIT 349",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131044013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 WEST STREET",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "13619",
            "telephone_number": "315-491-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE MEDICAL IMAGING CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-09",
        "status": "A",
        "authorized_official_last_name": "COLONE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATIVE CONSULTANT",
        "authorized_official_telephone_number": "315-243-1057"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.