Spectrum Radiology Associates Pllc
LBN: Spectrum Radiology Associates Pllc
Spectrum Radiology Associates Pllc is an health care organization with primary practice located at 1150 Youngs Rd Suite 111, Williamsville NY 14221-8053. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Spectrum Radiology Associates Pllc can be contacted via phone (716) 688-7622, or through Jackson-Gibson, Carol A via phone (716) 688-7622.
Contact Information
Primary practice address
1150 Youngs Rd Suite 111
Williamsville NY 14221-8053
Phone: (716) 688-7622
Fax: (716) 688-7592
Website:
Authorized official contact:
Name: Jackson-Gibson, Carol A Doctor of Medicine (MD)
Phone: (716) 688-7622
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | New York |
Profile Details
| NPI number | 1346346202 |
|---|---|
| LBN Legal business name | Spectrum Radiology Associates Pllc |
| DBA Doing business as | |
| Authorized official | Jackson-Gibson, Carol A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Apr 26th, 2013 - about 12 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 | 1346346202 | NPPES |
| New York | MEDICAID | 02143864 | |
| New York | Other | 512627001 |
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