Lucid Imaging Group

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LUCID IMAGING GROUP

Practice address

2005 Merrick Rd
Suite 204
Merrick, NY 11566-4644

Phone

(516) 578-7247

NPI assigned

Mar 8, 2014

Last updated

Mar 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deirdre Konen

Title

President

Phone

(516) 578-7247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1427474907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MERRICK RD",
            "address_2": "SUITE 204",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664644",
            "telephone_number": "516-578-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 MERRICK RD",
            "address_2": "SUITE 204",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664644",
            "telephone_number": "516-578-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID IMAGING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "KONEN",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-578-7247"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori M. Landrio OD PLLC
• Lorraine Gonzalez LCSW PLLC
• Erica Louis-Jean
• Bryan Christopher Lovejoy
• Brooke L Luchs, BROOKE L LUCHS
• Lutheran Medical Center
• Nicol Lee Lutsky, LMT
• Luxottica of America Inc (Pearle Vision #C6525)
• Gail Wendy Lynn, M.A.,CCC
• Jessica Mack, OTR/L

• Clinical Medical Laboratory in Merrick, NY
• Providers in Merrick, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.