Organization Active NPI

Valcour Imaging LLC

  • Radiology Clinic/Center
  • Plattsburgh, NY
National Provider Identifier
1962455006
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
0901204R Issued in NY
Legal business name
VALCOUR IMAGING LLC
Practice address
16 Degrandpre Way
Plattsburgh, NY 12901-6451
Phone
(518) 563-1900
Fax
(518) 563-2600
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Wolodymyr I Bula, MD
Title
Managing Partner
Phone
(518) 563-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 0901204R NY Primary

Addresses

Primary practice location

16 Degrandpre Way
Plattsburgh, NY 12901-6451

Mailing address

16 Degrandpre Way
Plattsburgh, NY 12901-6451
Phone (518) 563-1900

Other identifiers 1

IdentifierTypeStateIssuer
P00281925OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Member of 1

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

Locations

16 Degrandpre Way
Plattsburgh, NY 12901
Phone (518) 561-8256

16 Degrandpre Way
Ste 400
Plattsburgh, NY 12901
Phone (518) 563-1900

Practitioners & affiliated clinicians

Practitioners 5

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1962455006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016451",
            "telephone_number": "518-563-1900",
            "fax_number": "518-563-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016451",
            "telephone_number": "518-563-1900",
            "fax_number": "518-563-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALCOUR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "BULA",
        "authorized_official_first_name": "WOLODYMYR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "518-563-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "0901204R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00281925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.