OrganizationActive
Advanced Imaging Specialists, LLC
NPI 1689429078 · Diagnostic Radiology Physician · Hartford, CT
Provider details
- NPI number
- 1689429078
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kirt Frederickson, President(203) 426-3002
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
114 Woodland St
Hartford, CT 06105-1208
Phone: (203) 426-3002
Approximate (ZIP-level) locationGet directions
Mailing address
2 Riverview Dr Ste 104
Danbury, CT 06810-6268
Registry dates
- Enumerated
- 2024-04-19
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.