St Lawrence Radiology Assoc PC
NPI 1154380863ActiveOrganization· Radiology, Diagnostic Radiology· Potsdam, NY
Radiology, Diagnostic Radiology in Potsdam, New York, registered in NPPES in March 2006. The authorized official on file is Glauco Maresca, MD, President/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1154380863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2006 |
| Last updated in NPPES | Jun 1, 2020 |
| Certified by provider | Jun 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA) |
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