OrganizationActive
Madison Radiology PC
NPI 1457382855 · Mammography Clinic/Center · Madison, CT
Provider details
- NPI number
- 1457382855
- Entity type
- Organization
- Primary specialty
- Mammography Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Madison Radiology, PC
- Organization subpart
- Yes
- Authorized official
- Mary Walby, Office Manager(203) 245-7351
- License
- 02643 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2 Samson Rock Dr
Madison, CT 06443-9998
Phone: (203) 245-7351
Fax: (203) 245-8838
Street-level locationGet directions
Mailing address
2 Samson Rock Dr
Madison, CT 06443-9998
Other names (DBA / former)
- Doing business as
- Old Lyme Radiology
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2008-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.