CONNECTICUT IMAGE GUIDED SURGERY, PC
NPI 1730148784
Radiology - Vascular & Interventional Radiology in Fairfield, CT

Q: What is Connecticut Image Guided Surgery, PC's NPI number?

The NPI number for Connecticut Image Guided Surgery, PC is 1730148784. It was assigned to this organization in the NPPES registry on March 20, 2006.

Q: What is Connecticut Image Guided Surgery, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since March 20, 2006CLIA 07D1089799 · Waiver

1152 KINGS HIGHWAY CUTOFF STE 104, FAIRFIELD, CT 06824(203) 330-0248(203) 330-9730 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2026, Dec 9, 2025, May 5, 2025 and 9 more (12 updates tracked since 2016).

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About Connecticut Image Guided Surgery, Pc NPPES

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

CONNECTICUT IMAGE GUIDED SURGERY, PC (NPI 1730148784) is a healthcare organization registered as a vascular & interventional radiology in Fairfield, Connecticut and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Gregg Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1730148784

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameCONNECTICUT IMAGE GUIDED SURGERY, PC

Location Address1152 KINGS HIGHWAY CUTOFF STE 104Fairfield, CT 06824-5273

Mailing AddressPo Box 416139Boston, MA 02241-6139 · (610) 644-8900 · Fax (484) 924-0053

Phone(203) 330-0248

Fax(203) 330-9730

Organization SubpartNo

Authorized OfficialGregg MillerAuthorized Official · (717) 515-4048

Enumeration DateMarch 20, 2006

Last NPPES UpdateJune 9, 202612 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1730148784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

1152 KINGS HIGHWAY CUTOFF STE 104, Fairfield, CT 06824

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Other Identifiers 1

Medicaid008001049CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1089799

Connecticut Image Guided Surgery · Fairfield, CT

Active · expires Sep 25, 2026

CLIA Number07D1089799

Laboratory TypePhysician Office

Certificate Effective DateSeptember 26, 2024

Certificate Expiration DateSeptember 25, 2026

Laboratory DirectorDietrich Schultze

Laboratory Phone(203) 330-0248

Laboratory LocationConnecticut Image Guided Surgery1152 Kings Highway Cutoff, Ste 104, Fairfield, CT 06824

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Connecticut Image Guided Surgery, PC's NPI number?

The NPI number for Connecticut Image Guided Surgery, PC is 1730148784. It was assigned to this organization in the NPPES registry on March 20, 2006.

Where is Connecticut Image Guided Surgery, PC located?

Connecticut Image Guided Surgery, PC is located at 1152 Kings Highway Cutoff Ste 104, Fairfield, CT 06824. The listed phone number is (203) 330-0248.

What is Connecticut Image Guided Surgery, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Connecticut Image Guided Surgery, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1089799) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Connecticut Image Guided Surgery, PC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.