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Farmington Imaging Center, LLC

NPI 1275987802ActiveOrganization· Radiology, Diagnostic Radiology· Farmington, CT

Radiology, Diagnostic Radiology in Farmington, Connecticut, registered in NPPES in April 2016. The authorized official on file is Blake G. Graves, Svp, Rcm. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1275987802
StatusActive
Entity typeOrganization
NPI issuedApr 20, 2016
Last updated in NPPESJun 12, 2026
Certified by providerJun 12, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Radiology, Diagnostic Radiology Primary2085R0202X——
Nuclear Medicine207U00000X——
Radiology, Body Imaging2085B0100X——
Radiology, Neuroradiology2085N0700X——
Radiology, Pediatric Radiology2085P0229X——
Radiology, Vascular & Interventional Radiology2085R0204X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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 (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other Radiology, Diagnostic Radiology providers in Farmington

All Radiology, Diagnostic Radiology providers in Connecticut →