| Organization Name: | PARKLAND DIAGNOSTIC IMAGING, PLLC |
| NPI Number: | 1073590113 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY LIEBERMAN (MEDICAL DIRECTOR/RADIOLOGIST) |
| Mailing Address: | 3055 Southwestern Blvd Orchard Park |
| State: | NY US |
| Postal Code: | 141271231 |
| Phone Number: | 7166776736 |
| Fax Number: | 7166776144 |
| NPI Enumeration Date: | 12/29/2005 |
| NPI Last Update Date: | 02/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |