Provider Demographics
NPI:1316692627
Name:VALLEY MEDICAL IMAGING, PLLC
Entity type:Organization
Organization Name:VALLEY MEDICAL IMAGING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARADISO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-641-9450
Mailing Address - Street 1:14 RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2312
Mailing Address - Country:US
Mailing Address - Phone:845-471-2848
Mailing Address - Fax:
Practice Address - Street 1:14 RAYMOND AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2312
Practice Address - Country:US
Practice Address - Phone:845-471-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty