Healthcenter Imaging of Fairfield County LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

HEALTHCENTER IMAGING OF FAIRFIELD COUNTY LLC

Practice address

999 Silver LN
Suite 1B
Trumbull, CT 06611-5343

Phone

(203) 378-4200

Fax

(203) 612-4697

NPI assigned

Jan 18, 2007

Last updated

Mar 26, 2010By 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

Ms. Crystal McCarthy

Title

Vice President

Phone

(203) 870-8611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1922151695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "SUITE 1B",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-870-8611",
            "fax_number": "203-612-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "SUITE 1B",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-378-4200",
            "fax_number": "203-612-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCENTER IMAGING OF FAIRFIELD COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "203-870-8611",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Trumbull, CT
• Providers in Trumbull, CT by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.