Active NPI
Farmington Imaging Center, LLC
- Diagnostic Radiology Physician
- Farmington, CT
National Provider Identifier
1275987802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- FARMINGTON IMAGING CENTER, LLC
- Practice address
- 399 Farmington Ave Ste 130
Farmington, CT 06032-1944 - Phone
- (860) 289-3375
- NPI assigned
- Apr 20, 2016
- Last updated
- Jun 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blake G Graves
- Title
- SVP, RCM
- Phone
- (312) 919-8317
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | |||
| Body Imaging Physician | 2085B0100X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
399 Farmington Ave Ste 130
Farmington, CT 06032-1944
Mailing address
1260 Silas Deane Hwy Ste 104
Wethersfield, CT 06109-4363
Phone (860) 289-3375
Other practice location 1
100 Hazard Ave Ste 100
Enfield, CT 06082-5447
Phone (860) 289-3375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA, GA, PA, NY, CA, MI, NH, VT, AZ, IL, TX, MN, DC, FL, CO, NC, SC, NV, NJ, MS, MD, OH, ID, KY, WI, TN, HI, VA, PR
Enrollment records 30
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Wethersfield, CT
- NPI 1740315761
Member Of
Locations
6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847
1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844
69 5th Ave
Apt 7GH
New York, NY 10003
Practitioners & affiliated clinicians
Practitioners 209
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.
-
- Diagnostic Radiology Physician
- Wethersfield, CT
- NPI 1437776028
-
- Diagnostic Radiology Physician
- Enfield, CT
- NPI 1083275770
-
- Vascular & Interventional Radiology Physician
- South Glastonbury, CT
- NPI 1750532214
MA
-
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1316322969
IL, MA, Single Specialty
-
- Vascular & Interventional Radiology Physician
- Hartford, CT
- NPI 1891229191
MA
-
- Vascular & Interventional Radiology Physician
- Enfield, CT
- NPI 1689917866
Diagnostic Radiology, MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1275987802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 SILAS DEANE HWY STE 104",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094363",
"telephone_number": "860-289-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 FARMINGTON AVE STE 130",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321944",
"telephone_number": "860-289-3375"
}
],
"practiceLocations": [
{
"address_1": "100 Hazard Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060825447",
"country_code": "US",
"telephone_number": "860-289-3375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FARMINGTON IMAGING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-20",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "BLAKE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "SVP, RCM",
"authorized_official_telephone_number": "312-919-8317"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
- Farmington Care Center LLC (Touchpoints at Farmington)
- Farmington Dental Associates
- Farmington Dental PLLC (Family Dental Care of Farmington)
- Farmington Family Dental Group, PLLC (Farmington Family Dentistry)
- Farmington Family Dentistry, LLC
- Farmington Pediatric & Adolescent Medicine, LLC
- Farmington Public Schools
- Farmington Rehab Center, LLC
- Farmington Surgery Center LLC
- Farmington Village Dental Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.