Organization Active NPI

Radiological Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • Syosset, NY
National Provider Identifier
1982730784
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29020576 Issued in NY
Legal business name
RADIOLOGICAL DIAGNOSTIC IMAGING, P.C.
Practice address
100 Lafayette Dr
Syosset, NY 11791-3934
Phone
(516) 364-4600
Fax
(516) 364-4646
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mrs. Lorie A Davidson
Title
Executive Director
Phone
(516) 364-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 29020576 NY Primary

Addresses

Primary practice location

100 Lafayette Dr
Syosset, NY 11791-3934

Mailing address

100 Lafayette Dr
Syosset, NY 11791-3934
Phone (516) 364-4600

Other identifiers 2

IdentifierTypeStateIssuer
141341OtherNYFDA NUMBER
1902838816OtherNYINDIVIDUAL NPI

Other names 1

  • Long Island Diagnostic Imaging,P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1982730784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913934",
            "telephone_number": "516-364-4600",
            "fax_number": "516-364-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913934",
            "telephone_number": "516-364-4600",
            "fax_number": "516-364-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGICAL DIAGNOSTIC IMAGING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-364-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "29020576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA NUMBER",
            "identifier": "141341",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902838816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Diagnostic Imaging,P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.