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

Jefferson Radiology, PC

Organization Nuclear Medicine Physician · NPI 1396795951

Jefferson Radiology, PC is a Nuclear Medicine Physician in Hartford, Connecticut. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Seymour St
Hartford, CT 06102-8000
Phone: (860) 289-3375
Fax: (860) 290-4108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Nuclear Medicine Physician Taxonomy 207U00000X
Body Imaging Physician Taxonomy 2085B0100X
Neuroradiology Physician Taxonomy 2085N0700X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1396795951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Graves — Sr Vp Rcm · (312) 919-8317
NPI enumeratedMay 12, 2006
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-4363

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