LAKES RADIOLOGY PLLC NPI 1962642694

NPI Information

NPI: 1962642694
Provider Name: LAKES RADIOLOGY PLLC

Doing Business As: CENTRAL AUBURN IMAGING LLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1626 CLARK STREET ROAD
SUITE 18
AUBURN, NY
ZIP 13021
Phone: (315) 252-9462
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LAKES RADIOLOGY PLLC is a diagnostic radiology radiology in Auburn, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LAKES RADIOLOGY PLLC NPI is 1962642694. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Auburn Imaging Llc.

The provider's business location address is:

1626 CLARK STREET ROAD
SUITE 18
AUBURN, NY
ZIP 13021
Phone: (315) 252-9462
Fax: (315) 252-9466

The provider's authorized official is Craig Foster .
The authorized official title is Owner and has the following contact phone number (585) 944-1665.

The enumeration date for this NPI number is 2/20/2009 and was last updated on 4/12/2011.

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	2085R0202X	Radiology	Diagnostic 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	J100000227	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: 5/5/2024

NPI Synchronization or Removal

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