UNITED DIAGONSTIC IMAGING LLC (NPI# 1669994224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669994224 |
| Entity Type | Organization |
| Organization Name | UNITED DIAGONSTIC IMAGING LLC |
| Other Organization Name | A MOBILE IMAGING COMPANY |
| Practice Address |
25 Raymond St Stamford CT 06092 |
| Mailing Address |
25 Raymond St Stamford CT 06902-5279 |
| Practice Telephone | (203) 717-2451 |
| Mailing Telephone | 2037172451 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | IRFAN AHMED (PRESIDENT/ TECHNICAL DIRECTOR) |
| Authorized Official Telephone | 2037172451 |
| Authorized Official Credential | RVT, RPVI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ARDMS | 139269 | 01 |
| Other Name | Type Code |
|---|---|
| A Mobile Imaging Company | Former Legal Business Name - Organization |
| Street Address |
25 RAYMOND ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730547605 | Advanced Valley Dental, LLC | Dentist | 240 Farms Village Road, West Simsbury, CT 06092 | 2016-02-05 |
| 1649488495 | Jacqueline Marie Alexander | Counselor | 244 Farms Village Road, West Simsbury, CT 06092 | 2007-05-17 |
| 1053456137 | William E Dedominicis | Dentist | 240 Farms Village Rd, West Simsbury, CT 06092-0266 | 2007-02-20 |
| 1245374305 | Kenneth R Finn | Dentist | 240 Farms Village Rd, West Simsbury, CT 06092-0266 | 2007-02-20 |
| 1437294501 | Valley Dental Center, LLC | Dentist | 240 Farms Village Rd, West Simsbury, CT 06092-0266 | 2007-02-20 |
| 1316930951 | Russell A Ciafone | Internal Medicine | 66 Highridge Rd, West Simsbury, CT 06092-2004 | 2005-08-30 |
| 1649304643 | Michael Joseph Catuccio | Physical Therapist | 2 Case Cir, West Simsbury, CT 06092-2200 | 2007-03-14 |
| 1942753744 | Brett Inlow | Chiropractor | 244 Farms Village Rd, West Simsbury, CT 06092-2407 | 2016-07-27 |
| 1801344304 | Valley Chiropractic and Sports Medicine LLC | Chiropractor | 244 Farms Village Rd, Unit K, West Simsbury, CT 06092-2407 | 2016-09-14 |
| 1912186859 | Sheri L Morris | Social Worker | 3 Rocklyn Dr, West Simsbury, CT 06092-2629 | 2007-10-28 |
| Find all providers in zip 06092 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740665843 | Hvra of Danbury, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd Ste 102, Danbury, CT 06810-4032 | 2015-07-30 |
| 1184650830 | Burgess Health Associates, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 460 Smith St, Middletown, CT 06457-1594 | 2006-06-24 |
| 1649895152 | Pdi Health Ct LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 500 W Putnam Ave Ste 400, Greenwich, CT 06830-6096 | 2020-06-10 |
| 1497201941 | Preventive Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Grove St, 105, New Britain, CT 06053-4116 | 2016-08-25 |
| 1124266200 | Advanced Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 Cherry St, Suite L, Milford, CT 06460-3487 | 2009-01-28 |
| 1508043613 | Housatonic Valley Radiological Associates PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-01-31 |
| 1922126051 | Ct. Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2007-03-27 |
| 1073570206 | Ct Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2006-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.