Healthcare Provider Details

I. General information

NPI: 1225909971
Provider Name (Legal Business Name): HVRA OF RIDGEFIELD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 DANBURY RD
WILTON CT
06897-4405
US

IV. Provider business mailing address

18444 N 25TH AVE STE 320
PHOENIX AZ
85023-1266
US

V. Phone/Fax

Practice location:
  • Phone: 203-797-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAUL SIROIS
Title or Position: CEO
Credential:
Phone: 203-702-6603