Evergreen Imaging Center, Llc
LBN: Evergreen Imaging Center, Llc
Evergreen Imaging Center, Llc is an health care organization with primary practice located at 2800 Tamarack Ave Suite 002, South Windsor CT 06074. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty.
Evergreen Imaging Center, Llc can be contacted via phone (860) 533-4600, or through Mcconville, Dennis Patrick via phone (860) 533-3429.
Contact Information
Primary practice address
2800 Tamarack Ave Suite 002
South Windsor CT 06074
Phone: (860) 533-4600
Fax: (860) 533-4601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1316050925 |
|---|---|
| LBN Legal business name | Evergreen Imaging Center, Llc |
| DBA Doing business as | |
| Authorized official | Mcconville, Dennis Patrick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Nov 10th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316050925 | NPPES |
| Connecticut | MEDICAID | 004261351 |
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