| Organization Name: | DIAGNOSTIC IMAGING OF SOUTHBURY |
| NPI Number: | 1245252824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT GUMBARDO (MEDICAL DIRECTOR) |
| Mailing Address: | 385 Main St South Nvra Union Square Bldg 2 Southbury |
| State: | CT US |
| Postal Code: | 06488 |
| Phone Number: | 2032647999 |
| Fax Number: | 2032647477 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |