Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Erie Medical Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1972973345

Great Lakes Erie Medical Imaging LLC is a Diagnostic Radiology Physician in Buffalo, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (NY)

Record details

NPI number1972973345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Glenn-Smith — Chief Executive Officer · (716) 836-4646
NPI enumeratedSeptember 29, 2015
Last updated in NPPESSeptember 29, 2015
Mailing address199 Park Club Ln Ste 300, Williamsville, NY 14221-5269

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