Active NPI
Lakes Radiology PLLC
- Diagnostic Radiology Physician
- Auburn, NY
National Provider Identifier
1962642694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- LAKES RADIOLOGY PLLC
- Practice address
- 1626 Clark Street Road
Suite 18
Auburn, NY 13021 - Phone
- (315) 252-9462
- Fax
- (315) 252-9466
- NPI assigned
- Feb 20, 2009
- Organization subpart
- Yes
- Parent organization
- LAKES RADIOLOGY PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Foster, MD
- Title
- Owner
- Phone
- (585) 944-1665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1626 Clark Street Road
Suite 18
Auburn, NY 13021
Mailing address
1626 Clark Street Road
Suite 18
Auburn, NY 13021
Phone (315) 252-9462
Other names 1
- Central Auburn Imaging LLC
National Provider Directory
National Provider Directory- Part of
- Lakes Radiology PLLC
Locations
1626 Clark Street Rd
Ste 18
Auburn, NY 13021
Phone (315) 252-9462
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.
-
- Diagnostic Radiology Physician
- Hornell, NY
- NPI 1710937727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1962642694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 CLARK STREET ROAD",
"address_2": "SUITE 18",
"city": "AUBURN",
"state": "NY",
"postal_code": "13021",
"telephone_number": "315-252-9462",
"fax_number": "315-252-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 CLARK STREET ROAD",
"address_2": "SUITE 18",
"city": "AUBURN",
"state": "NY",
"postal_code": "13021",
"telephone_number": "315-252-9462",
"fax_number": "315-252-9466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES RADIOLOGY PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAKES RADIOLOGY PLLC",
"enumeration_date": "2009-02-20",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-944-1665",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Auburn Imaging LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.