NPIMap

Organization Active NPI

Diagnostic Imaging of Milford, PC

Doing business as Milford Vascular Institute

  • Durable Medical Equipment & Medical Supplies
  • Milford, CT
National Provider Identifier
1821615196
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIAGNOSTIC IMAGING OF MILFORD, PC
Doing business as
Milford Vascular Institute
Practice address
20 Commerce Park
Milford, CT 06460-3511
Phone
(203) 882-8346
Fax
(203) 882-0384
NPI assigned
Jul 2, 2020
Organization subpart
Yes
Parent organization
DIAGNOSTIC IMAGING OF MILFORD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Paul S Davis, MD
Title
Partner
Phone
(203) 878-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

20 Commerce Park
Milford, CT 06460-3511

Mailing address

PO Box 329
Lewiston, ME 04243-0329

Other identifiers 1

IdentifierTypeStateIssuer
7823760001OtherCTNSC MEDICARE

Other names 1

  • Milford Vascular Institute Doing business as

National Provider Directory

National Provider Directory
Part of
Diag Imaging of Milford

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 12

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": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1821615196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042430329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603511",
            "telephone_number": "203-882-8346",
            "fax_number": "203-882-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING OF MILFORD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC IMAGING OF MILFORD, PC",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-878-2341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC MEDICARE",
            "identifier": "7823760001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.