Jefferson Radiology, Pc
LBN: Jefferson Radiology, Pc
Jefferson Radiology, Pc is an health care organization with primary practice located at 85 Seymour St Ste 200 , Hartford CT 06106-5509. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Jefferson Radiology, Pc can be contacted via phone (860) 289-3375, or through Lebleu, Sharlee via phone (480) 321-7026.
Contact Information
Primary practice address
85 Seymour St Ste 200
Hartford CT 06106-5509
Phone: (860) 289-3375
Fax: (860) 783-5733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1396795951 |
|---|---|
| LBN Legal business name | Jefferson Radiology, Pc |
| DBA Doing business as | |
| Authorized official | Lebleu, Sharlee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 12th, 2024 - about 2 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 | 1396795951 | NPPES |
| Massachusetts | MEDICAID | 9704507 | |
| Massachusetts | Other | NY108137 | |
| Massachusetts | Other | A2516306 | |
| Massachusetts | MEDICAID | 004000295 | |
| Massachusetts | Other | 669045 |
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