Look up the most recent NPI and PECOS records

Meriden Imaging Center, Inc.

Radiology

Allopathic & Osteopathic Physicians

863 N Main Street Ext, Wallingford, CT 06492-2434

PECOS Enrollment

Based on the most recent information from CMS, provider Meriden Imaging Center, Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1508812561
Provider Type
Organization
Full Name
Meriden Imaging Center, Inc.

Subpart
No
Enumeration Date
5/25/2006
Last Updated
8/13/2019

Contact Information

Practice Location

863 N Main Street Ext, Wallingford, CT 06492-2434

(203) 294-2721

(203) 949-2712

Mailing Location

101 N Plains Industrial Rd, Wallingford, CT 06492-2360

(203) 949-2700

(203) 949-2712

Authorized Official

Dee, Gary (Owner)

(203) 949-2700

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085R0204X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Meriden Imaging Center, Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Prete, Christina

Dee, Gary J.

Durhan, Linda

Dey, Holley

Meriden Imaging Center

Carroll, James

Borsuk, Sherwin

Weiss, Laurence

Friar, Mary

Bisceglia, Michael