PRESTIGE DIAGNOSTIC IMAGING LLC


Address: 60 Yowago Ave, Branford, CT 06405-5543
Phone: 2036277478

PRESTIGE DIAGNOSTIC IMAGING LLC (NPI# 1700330883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700330883
Entity Type Organization
Organization Name PRESTIGE DIAGNOSTIC IMAGING LLC
Practice Address 60 Yowago Ave
Branford
CT 06405-5543
Practice Telephone 2036277478
Mailing Telephone 2036277478
Enumeration Date 2016-08-07
Last Update Date 2016-08-07
Authorized Official Name JOSEPH J THOMAS JR. (OWNER)
Authorized Official Telephone 2036277478
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578199733 Prestige Diagnostic Imaging LLC Clinic/Center 11240 Vista Del Sol Dr Ste A, El Paso, TX 79936-5236 2020-03-19

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations PRESTIGE DIAGNOSTIC IMAGING LLC 60 Yowago Ave., Branford, CT 06405

Office Location

Street Address 60 YOWAGO AVE
City BRANFORD
State CT
Zip Code 06405-5543

Providers in the same zip code

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1770119596 Katarzyna Pavelko Physical Therapist Branford Hills, 189 Alps Rd, Branford, CT 06405 2020-03-13
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1689181554 Erin H Mccarthy Social Worker 513 Leetes Island Rd, Branford, CT 06405 2018-01-02
1255860516 Sylcom Angelscare LLC In Home Supportive Care 1204 Main Street #241, Branford, CT 06405 2017-06-08
1093266439 Emmanuel Chery Physical Therapy Assistant 153 Austin Ryer Lane, Branford, CT 06405 2016-10-20
1114389681 Suraj Patel Pharmacist 2-6 Short Beach Rd, Branford, CT 06405 2016-03-24
1558753897 Donald Ray Sirry Social Worker 9 Business Park Drive, Unit 1, Branford, CT 06405 2015-02-24
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1942587035 Kathryn Lyn Delia Pharmacist 329 East Main St, Branford, CT 06405 2011-11-03
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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1225571433 Sound Imaging LLC Clinic/Center 174 Meadowbrook Ct, West Haven, CT 06516-7830 2016-11-21
1184053001 Jhl Imaging Services of Connecticut LLC Clinic/Center 300 Sound Beach Ave, Old Greenwich, CT 06870-1625 2013-11-01
1467739540 Southern Connecticut Imaging Centers, LLC Clinic/Center 2200 Whitney Ave Ste 120, Hamden, CT 06518-3602 2011-11-03
1528151438 New England Mobile X-ray Clinic/Center 7 Faulkner Dr, Niantic, CT 06357-2305 2006-10-02
1871045492 Icon Imaging LLC Clinic/Center 540 Bishop Dr, Orange, CT 06477-2522 2016-10-31
1588113963 Preventive Diagnostics Inc. Clinic/Center 1 Grove St, New Britain, CT 06053-4116 2016-09-27
1356896096 Ct Mobile Imaging Services PC Clinic/Center 100 Mill Plain Rd, Danbury, CT 06811-5178 2016-08-23
1942674890 Family Diagnostics LLC Clinic/Center 540 Bishop Dr, Orange, CT 06477-2522 2015-11-16
1619243508 Connecticut Diagnostic Solutions Inc Clinic/Center 500 Summer St, Ste 304, Stamford, CT 06901-4301 2012-03-26
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Competitor

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City BRANFORD
Zip Code 06405

Improve Information

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Dataset Information

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.

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