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Lakeside Imaging, Llc
Diagnostic Radiology Physician in Brockport, New York
NPI 1003904624

Lakeside Imaging, Llc is a Diagnostic Radiology Physician based in Brockport, NY and is specialized in Diagnostic Radiology. Lakeside Imaging, Llc practices in Brockport, NY. The NPI Number for Lakeside Imaging, Llc is 1003904624 and holds a License No. (New York).

The current practice location address for Lakeside Imaging, Llc is 156 West Ave, Brockport, NY and can be reached out via phone at 716-859-2954.

Location: 156 West Ave, Brockport, NY, 14420-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003904624
Provider Name
Lakeside Imaging, Llc
Credential
Provider Entity Type
Organization
Address
156 West Ave, Brockport, NY, 14420-1229
Phone Number
716-859-2954
Fax Number
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02852633 05 NY
institution
Provider Business Practice Location Address Details
Address
156 West Ave
City
Brockport
State
New York
Zip
14420-1229
Phone Number
716-859-2954
Fax Number
person
Provider Business Mailing Address Details
Address
156 West Ave
City
Brockport
State
New York
Zip
14420-1229
Phone Number
716-859-2954
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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