Provider Demographics
NPI:1720336415
Name:HAMMERS HEALTHCARE IMAGING, LLC
Entity Type:Organization
Organization Name:HAMMERS HEALTHCARE IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNWOOD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HAMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:203-773-8959
Mailing Address - Street 1:2 CHURCH STREET SOUTH
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519
Mailing Address - Country:US
Mailing Address - Phone:203-773-8959
Mailing Address - Fax:203-773-8962
Practice Address - Street 1:2 CHURCH ST S
Practice Address - Street 2:SUITE 110
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1717
Practice Address - Country:US
Practice Address - Phone:203-773-8959
Practice Address - Fax:203-773-8962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001832085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT300003399Medicare PIN