Organization Active NPI

Executive Medical Imaging Services, PLLC

  • Diagnostic Radiology Physician
  • Miller Place, NY
National Provider Identifier
1215105044
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
201466 Issued in NY
Legal business name
EXECUTIVE MEDICAL IMAGING SERVICES, PLLC
Practice address
9 Rolling Rd
Miller Place, NY 11764-2220
Phone
(631) 902-3074
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Frank Lombardo, MD
Title
Owner
Phone
(631) 902-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 201466 NY Primary

Addresses

Primary practice location

9 Rolling Rd
Miller Place, NY 11764-2220

Mailing address

9 Rolling Rd
Miller Place, NY 11764-2220

National Provider Directory

National Provider Directory

Locations

222 Manor Pl
Ste 102
Greenport, NY 11944
Phone (631) 477-1755

632 Roanoke Ave
Riverhead, NY 11901
Phone (631) 208-8270

Practitioners & affiliated clinicians

Practitioners 1

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": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1215105044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ROLLING RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ROLLING RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642220",
            "telephone_number": "631-902-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICAL IMAGING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-902-3074",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "201466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.