Provider Demographics
NPI:1093739161
Name:NEW BRITIAIN RADIOLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:NEW BRITIAIN RADIOLOGICAL ASSOCIATES
Other - Org Name:OPEN MRI OF FARMINGTON AVENUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PELLEGRINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-586-8370
Mailing Address - Street 1:901 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1418
Mailing Address - Country:US
Mailing Address - Phone:860-583-8370
Mailing Address - Fax:860-586-8824
Practice Address - Street 1:901 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119
Practice Address - Country:US
Practice Address - Phone:860-586-8370
Practice Address - Fax:860-586-8824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC02718Medicare ID - Type UnspecifiedGROUP