PARKLAND DIAGNOSTIC IMAGING PLLC NPI 1073590113

NPI Information

NPI: 1073590113
Provider Name: PARKLAND DIAGNOSTIC IMAGING, PLLC
Classification: Clinic/Center - 261QR0200X
Specialization: Radiology
Entity Type: Organization
Doing Business As: PARKLAND DIAGNOSTIC IMAGING
Address: 3055 SOUTHWESTERN BLVD
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 677-6736

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NPI Details

PARKLAND DIAGNOSTIC IMAGING, PLLC is a radiology clinic center in Orchard Park, NY. PARKLAND DIAGNOSTIC IMAGING, PLLC NPI is 1073590113. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkland Diagnostic Imaging.

The provider's business location address is:

3055 SOUTHWESTERN BLVD
ORCHARD PARK, NY
ZIP 14127-231
Phone: (716) 677-6736
Fax: (716) 677-6144

The provider's authorized official is Jeffrey Lieberman .
The authorized official title is Medical Director/radiologist and has the following contact phone number (631) 517-8006.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 2/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02677205	MEDICAID	NEW YORK
2	AA1402	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	DG7385	OTHER	NEW YORK	RR MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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