Lake Champlain Imaging PLLC
NPI 1063253482ActiveOrganization· Radiology, Diagnostic Radiology· Plattsburgh, NY
Radiology, Diagnostic Radiology in Plattsburgh, New York, registered in NPPES in June 2024. The authorized official on file is Anthony G. Conti, M.D., Member. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - portable x-ray supplier.
Overview
| NPI | 1063253482 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2024 |
| Last updated in NPPES | Jan 9, 2026 |
| Certified by provider | Jan 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Portable X-Ray Supplier (NY); Part B Supplier - Clinic/Group Practice (VT) |
|---|
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