Organization Active NPI

Family Diagnostics LLC

  • Mobile Radiology Clinic/Center
  • Orange, CT
National Provider Identifier
1942674890
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
FAMILY DIAGNOSTICS LLC
Practice address
540 Bishop Dr
Orange, CT 06477-2522
Phone
(203) 553-9696
Fax
(203) 298-4185
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Fausto Leandro Minaya CorreaNPI 1730557505
Title
President
Phone
(203) 553-9696

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
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

540 Bishop Dr
Orange, CT 06477-2522

Mailing address

540 Bishop Dr
Orange, CT 06477-2522
Phone (203) 553-9696

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": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1942674890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BISHOP DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772522",
            "telephone_number": "203-553-9696",
            "fax_number": "203-298-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BISHOP DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772522",
            "telephone_number": "203-553-9696",
            "fax_number": "203-298-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MINAYA CORREA",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_middle_name": "LEANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-553-9696"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.