Provider Demographics
NPI:1184291023
Name:ROCKY HILL IMAGING CENTER, LLC
Entity type:Organization
Organization Name:ROCKY HILL IMAGING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TWOHIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-969-6380
Mailing Address - Street 1:1000 ASYLUM AVE STE 3210E
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1702
Mailing Address - Country:US
Mailing Address - Phone:860-969-6380
Mailing Address - Fax:860-969-6388
Practice Address - Street 1:476 CROMWELL AVE
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06076
Practice Address - Country:US
Practice Address - Phone:860-969-6380
Practice Address - Fax:860-969-6380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty