1. Home
  2. Directory
  3. Connecticut
  4. South Windsor
  5. Clinic Center
  6. NPI Profile

EVERGREEN IMAGING CENTER, LLC
NPI 1316050925
Clinic/Center - Radiology in South Windsor, CT

Active since August 16, 2006
2800 TAMARACK AVE, SUITE 002, SOUTH WINDSOR, CT 06074(860) 533-4600(860) 533-4601 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Imaging Center, Llc NPPES

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

EVERGREEN IMAGING CENTER, LLC (NPI 1316050925) is a healthcare organization registered as a radiology in South Windsor, Connecticut and active in the NPI registry since August 2006. The organization lists Dennis Patrick Mcconville, Director, as its authorized official.

NPPES Registry Identity

NPI1316050925
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameEVERGREEN IMAGING CENTER, LLC
Location Address2800 TAMARACK AVE, SUITE 002South Windsor, CT 06074
Mailing Address2800 Tamarack Ave, Suite 002South Windsor, CT 06074 · (860) 533-4600 · Fax (860) 533-4601
Phone(860) 533-4600
Fax(860) 533-4601
Organization SubpartNo
Authorized OfficialDennis Patrick McconvilleDirector · (860) 533-3429
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 10, 2008
✔ NPI 1316050925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
2800 TAMARACK AVE, South Windsor, CT 06074
Open in Google Maps ↗

Other Identifiers 2

Medicaid004261351CT
Medicare ID-Type UnspecifiedC03509CT · Group Number

Other Providers at the Same Location NPPES 11

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

MANCHESTER EAR, NOSE & THROAT CENTER LLC
Otolaryngology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 648-0860
VIPUL DUA, MD, LLC
Orthopaedic Surgery
2800 TAMARACK AVE, SUITE 106
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-5900
JAYME MARIE CLARK PA-C
Physician Assistant (Medical)
2800 TAMARACK AVE, SUITE 104
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 648-4480
MARK TOUSIGNANT M.D.
Surgery
2800 TAMARACK AVE, SUITE 100
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 533-4692
ILONA SLUSKER SHTERNFELD M.D.
Ophthalmology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 648-0638
SPORTSMEDICINE PARTNERS, ORTHOPEDICS & REHABILITATION THERAPY, P.C.
Specialist
2800 TAMARACK AVE, SUITE 100
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-5900
MICHAEL A. SHTERNFELD M.D.
Otolaryngology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 648-0860
EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
Orthopaedic Surgery
2800 TAMARACK AVE, SUITE 104
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 648-0814

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 Evergreen Imaging Center, LLC's NPI number?

The NPI number for Evergreen Imaging Center, LLC is 1316050925. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Evergreen Imaging Center, LLC located?

Evergreen Imaging Center, LLC is located at 2800 Tamarack Ave Suite 002, South Windsor, CT 06074. The listed phone number is (860) 533-4600.

What is Evergreen Imaging Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Evergreen Imaging Center, LLC was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.