Img Medical Group Mi, P.C.

LBN: Img Medical Group Mi, P.C.
Img Medical Group Mi, P.C. is an health care organization with primary practice located at 201 Broad St Ste 420 , Stamford CT 06901-2004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Img Medical Group Mi, P.C. can be contacted via phone (888) 760-4266, or through Sullivan, Kelsi via phone (888) 760-4266.

Contact Information

Primary practice address
201 Broad St Ste 420 Stamford CT 06901-2004
Phone: (888) 760-4266
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Kelsi Physician's Assistant Certified (PA-C)
Phone: (888) 760-4266

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1578308862
LBN Legal business name Img Medical Group Mi, P.C.
DBA Doing business as
Authorized official Sullivan, Kelsi Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2024
Last updated Jun 28th, 2024 - about last year

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.

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