Northeast Advanced Imaging
LBN: Prime Care Physicians, Pllc
Northeast Advanced Imaging is an health care organization with primary practice located at 279 Troy Rd Route 4, Rensselaer NY 12144-9499. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Prime Care Physicians, Pllc can be contacted via phone (518) 880-6300, or through Whalen, Michael J. via phone (518) 435-2704.
Contact Information
Primary practice address
279 Troy Rd Route 4
Rensselaer NY 12144-9499
Phone: (518) 880-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ||
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1700131604 |
|---|---|
| LBN Legal business name | Prime Care Physicians, Pllc |
| DBA Doing business as | Northeast Advanced Imaging |
| Authorized official | Whalen, Michael J. MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jul 17th, 2012 - about 13 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 | 1700131604 | NPPES |
| New York | MEDICAID | 02616571 | |
| New York | MEDICAID | 1011152 |
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