| Organization Name: | NORTHEAST RADIOLOGY OF CONNECTICUT, LLC |
| NPI Number: | 1992180350 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOWARD LEE (PRESIDENT) |
| Mailing Address: | 67 Sand Pit Rd Danbury |
| State: | CT US |
| Postal Code: | 068104032 |
| Phone Number: | 2037971770 |
| Fax Number: | 2037967839 |
| NPI Enumeration Date: | 07/28/2015 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |