Lakeside Imaging, Llc

NPI 1003904624 - Radiology - 2085R0202X

NPI Details
NPI 1003904624
Enumeration Date 10/10/2006
Last Updated 12/03/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL MICHAEL
Position PRESIDENT
Phone (716) 859-2954
Fax
Practice Location
156 WEST AVE
BROCKPORT NY, 14420-1229, US
Phone (716) 859-2954
Fax
Business Location
156 WEST AVE
BROCKPORT NY, 14420-1229, US
Phone
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
Remove 1003904624 NPI Number
 

According to our database, Lakeside Imaging, Llc NPI is 1003904624, taxonomy code is 2085R0202X Lakeside Imaging, Llc physically located at 156 West Ave, Brockport NY, 14420-1229. NPI Number 1033115704 has the healthcare provider type.

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1003904624 NPI number is provided on an as is basis without warranty of any kind. 1003904624 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Imaging, Llc are for informational purposes only.