Lakes Radiology PLLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

LAKES RADIOLOGY PLLC

Practice address

8395 Oswego Rd
Baldwinsville, NY 13027-6801

Phone

(315) 857-0094

NPI assigned

Mar 3, 2006

Organization subpart

Yes

Parent organization

LAKES RADIOLOGYAs reported in NPPES

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

Authorized official

Name

Iddo Netanyahu, MD

Title

President

Phone

(315) 857-0094

Specialties & licenses 1

Addresses

Other names 1

• Clay Open MRI Other name

Part of

Lakes Radiology PLLC

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.

• Lakes Radiology PLLC

  • Diagnostic Radiology Physician
  • Hornell, NY
  • NPI 1710937727
  NPPES parent name

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1265409635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2004",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574504",
            "telephone_number": "315-362-5285",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 OSWEGO RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130276801",
            "telephone_number": "315-857-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES RADIOLOGY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKES RADIOLOGY",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "NETANYAHU",
        "authorized_official_first_name": "IDDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-857-0094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay Open MRI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna McKee Kulle, DONNA KULLE
• Alexandra Kummerow, M.S. CAS
• Kyle M Hierholzer LMT
• Judith Labrake
• Brooke Laflair
• John Henry Lalor, MD
• Leslie Marie Lamirande, RN
• Gerald L. Larocca Jr., RPH
• Shelby Marie Larue, M.S. OTR/L
• Laurie Kimmel, LMFT-D, PLLC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.