LAKE CHAMPLAIN IMAGING PLLC
NPI 1063253482
Radiology - Diagnostic Radiology in Plattsburgh, NY
About Lake Champlain Imaging Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE CHAMPLAIN IMAGING PLLC (NPI 1063253482) is a healthcare organization registered as a diagnostic radiology in Plattsburgh, New York and active in the NPI registry since June 2024. The organization lists Anthony G Conti, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Champlain Imaging Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Champlain Imaging PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lake Champlain Imaging PLLC's NPI number?
The NPI number for Lake Champlain Imaging PLLC is 1063253482. It was assigned to this organization in the NPPES registry on June 3, 2024.
Where is Lake Champlain Imaging PLLC located?
Lake Champlain Imaging PLLC is located at 675 State Route 3, Plattsburgh, NY 12901. The listed phone number is (518) 572-6333.
What is Lake Champlain Imaging PLLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Lake Champlain Imaging PLLC enrolled in Medicare?
Yes. Lake Champlain Imaging PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Champlain Imaging PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lake Champlain Imaging PLLC, in Diagnostic Radiology and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Champlain Imaging PLLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Lake Champlain Imaging Pllc · NPI 1063253482
Diagnostic Radiology organization in Plattsburgh, New York. Organization record, active in the CMS NPPES registry since June 3, 2024.
## Identity
- **NPI:** 1063253482 (Entity type: Organization)
- **Enumerated:** June 3, 2024
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Anthony Conti, MEMBER
## Practice location
- **Address:** 675 STATE ROUTE 3, Plattsburgh, NY 12901-6562
- **Phone:** (518) 572-6333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (1), Qualified Speech Language Pathologist (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1063253482) · Data from the CMS NPPES public registry.