Evergreen Imaging Center, Llc

NPI 1316050925 - Clinic/Center - 261QR0200X

NPI Details
NPI 1316050925
Enumeration Date 08/16/2006
Last Updated 11/10/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DENNIS PATRICK DENNIS
Position DIRECTOR
Phone (860) 533-4600
Fax (860) 533-4601
Practice Location
2800 TAMARACK AVE
SUITE 002
SOUTH WINDSOR CT, 06074, US
Phone (860) 533-4600
Fax (860) 533-4601
Business Location
2800 TAMARACK AVE
SUITE 002
SOUTH WINDSOR CT, 06074, US
Phone (860) 533-4600
Fax (860) 533-4601
Toxanomy
Taxonomy Code 261QR0200X
License State
License Number
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According to our database, Evergreen Imaging Center, Llc NPI is 1316050925, taxonomy code is 261QR0200X Evergreen Imaging Center, Llc physically located at 2800 Tamarack Ave, South Windsor CT, 06074. NPI Number 1033115704 has the healthcare provider type.

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1316050925 NPI number is provided on an as is basis without warranty of any kind. 1316050925 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Imaging Center, Llc are for informational purposes only.