Lake Champlain Imaging PLLC
NPI 1063253482 · Diagnostic Radiology Physician · Plattsburgh, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Champlain Imaging PLLC is a Diagnostic Radiology Physician organization in Plattsburgh, NY (NPI 1063253482).
Provider details
- NPI number
- 1063253482
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Conti, Member(518) 572-6333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Frequently asked questions
- What is Lake Champlain Imaging PLLC's NPI number?
- Lake Champlain Imaging PLLC's National Provider Identifier (NPI) is 1063253482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Champlain Imaging PLLC?
- Lake Champlain Imaging PLLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Champlain Imaging PLLC located?
- Lake Champlain Imaging PLLC's practice location on file with NPPES is 675 State Route 3, Plattsburgh, NY 12901-6562.
- What is Lake Champlain Imaging PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Champlain Imaging PLLC is (518) 572-6333.
- Does Lake Champlain Imaging PLLC accept Medicare?
- Lake Champlain Imaging PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Champlain Imaging PLLC?
- The authorized official listed on Lake Champlain Imaging PLLC's NPPES record is Anthony Conti, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Champlain Imaging PLLC's NPI active?
- Yes — Lake Champlain Imaging PLLC's NPI (1063253482) is active in the NPPES registry as of the last update on 2026-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.