Healthcare Provider Details

I. General information

NPI: 1215742051
Provider Name (Legal Business Name): COMPREHENSIVE IMAGING SERVICE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 INTREPID LN
SYRACUSE NY
13205-2548
US

IV. Provider business mailing address

PO BOX 4781
LANCASTER PA
17604-4781
US

V. Phone/Fax

Practice location:
  • Phone: 315-251-0401
  • Fax:
Mailing address:
  • Phone: 443-274-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSS A HORSLEY
Title or Position: OWNER
Credential: MD
Phone: 716-560-7062