NPIMap

Organization Active NPI

Southern Connecticut Imaging Centers LLC

Doing business as Whitney Imaging Center

  • Physiological Laboratory
  • Hamden, CT
National Provider Identifier
1851356919
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
SOUTHERN CONNECTICUT IMAGING CENTERS LLC
Doing business as
Whitney Imaging Center
Practice address
2200 Whitney Ave
Hamden, CT 06518-3691
Phone
(203) 288-3068
Fax
(203) 288-3124
NPI assigned
Apr 19, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Ms. Patricia R. Blank
Title
Evp Business Process Management
Phone
(949) 282-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2200 Whitney Ave
Hamden, CT 06518-3691

Mailing address

PO Box 846044
Boston, MA 02284-6044

Other identifiers 2

IdentifierTypeStateIssuer
470001376OtherCTRAILROAD MEDICARE
04216322MedicaidCT

Other names 1

  • Whitney Imaging Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0947931Endoscopy Center of Connecticut2200 Whitney Ave Ste 380, Hamden, CT 06518Certificate of waiverJun 25, 2028
07D1065857Medical Research Center of Connecticut LLC2200 Whitney Avenue, Hamden, CT 06518Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1851356919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846044",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022846044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-288-3068",
            "fax_number": "203-288-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CONNECTICUT IMAGING CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EVP BUSINESS PROCESS MANAGEMENT",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001376",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04216322",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitney Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.