Greater Waterbury Imaging Center Limited Partnership
NPI 1245295401ActiveOrganization· Physiological Laboratory· Waterbury, CT
Physiological Laboratory in Waterbury, Connecticut, registered in NPPES in April 2006. The authorized official on file is Keith S. Kelson, Chief Financial Officer. Medicare paid $105,911 for services to 375 patients in 2024.
Overview
| NPI | 1245295401 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2006 |
| Last updated in NPPES | May 5, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
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 - Independent Diagnostic Testing Facility (Idtf) (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 375 |
|---|---|
| Services billed | 30,947 across 35 procedure codes |
| Paid by Medicare | $105,911 |