Organization Active NPI

Adirondack Diagnostic Imaging Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Clifton Park, NY
National Provider Identifier
1619983426
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
ADIRONDACK DIAGNOSTIC IMAGING INC.
Practice address
3 Emma LN
Clifton Park, NY 12065-3763
Phone
(518) 371-4370
Fax
(518) 871-1401
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Michael D Green, M.D.NPI 1447359054
Title
President
Phone
(518) 371-4370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

3 Emma LN
Clifton Park, NY 12065-3763

Mailing address

3 Emma LN
Clifton Park, NY 12065-3763
Phone (518) 371-4370

Other identifiers 1

IdentifierTypeStateIssuer
01768496MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1619983426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMMA LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653763",
            "telephone_number": "518-371-4370",
            "fax_number": "518-871-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EMMA LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653763",
            "telephone_number": "518-371-4370",
            "fax_number": "518-871-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK DIAGNOSTIC IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-371-4370",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01768496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.