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LAKESIDE IMAGING, LLC
NPI 1003904624
Radiology - Diagnostic Radiology in Brockport, NY

Active since October 10, 2006
156 WEST AVE, BROCKPORT, NY 14420(716) 859-2954 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Imaging, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE IMAGING, LLC (NPI 1003904624) is a healthcare organization registered as a diagnostic radiology in Brockport, New York and active in the NPI registry since October 2006. The organization lists Michael Silber, President, as its authorized official.

NPPES Registry Identity

NPI1003904624
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLAKESIDE IMAGING, LLC
Location Address156 WEST AVEBrockport, NY 14420-1229
Mailing Address156 West AveBrockport, NY 14420-1229
Phone(716) 859-2954
Organization SubpartNo
Authorized OfficialMichael SilberPresident · (716) 859-2954
Enumeration DateOctober 10, 2006
Last NPPES UpdateDecember 3, 2014
✔ NPI 1003904624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
156 WEST AVE, Brockport, NY 14420
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Other Identifiers 2

Medicaid02852633NY
Medicare PINBA1051NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY VERNON HAGY M.D.
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
UNIVERSITY OF ROCHESTER
Pharmacy (Community/Retail Pharmacy)
156 WEST AVE, PHARMACY
BROCKPORT, NY 14420
Monroe County (585) 758-7562
ERIK PETERSON D.O.
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Monroe County (585) 395-6095
EMMA LEATHAM PA-C
Physician Assistant (Medical)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 758-7557
AMY LORRAINE STACY MS, RD, CDN
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
INTERNAL MEDICINE AT LAKESIDE
Internal Medicine
156 WEST AVE, SUITE 106
BROCKPORT, NY 14420
Monroe County (585) 395-6095
JORDAN BLOCK
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 275-5321
ISABELLE JOY KARPOVICH
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 341-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Imaging, LLC's NPI number?

The NPI number for Lakeside Imaging, LLC is 1003904624. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Lakeside Imaging, LLC located?

Lakeside Imaging, LLC is located at 156 West Ave, Brockport, NY 14420. The listed phone number is (716) 859-2954.

What is Lakeside Imaging, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Lakeside Imaging, LLC was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.