Active NPI
Radiological Diagnostic Imaging, P.C.
- Diagnostic Radiology Physician
- Syosset, NY
National Provider Identifier
1982730784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29020576
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141341 | Other | NY | FDA NUMBER |
| 1902838816 | Other | NY | INDIVIDUAL NPI |
Other names 1
- Long Island Diagnostic Imaging,P.C.
National Provider Directory
National Provider DirectoryNPI 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.