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UMASS MEMORIAL MRI & IMAGING CENTER LLC NPI 1215619242


NPI Information

NPI: 1215619242
Provider Name: UMASS MEMORIAL MRI & IMAGING CENTER, LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

CLIA Number: 22D2291407

Address:
100 SOUTH ST STE 500
SOUTHBRIDGE, MA
ZIP 01550
Phone: (866) 258-4738
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UMASS MEMORIAL MRI & IMAGING CENTER, LLC is a radiology and mobile clinic center in Southbridge, MA. UMASS MEMORIAL MRI & IMAGING CENTER, LLC NPI is 1215619242. The provider is registered as an organization entity type.

The provider's business location address is:

100 SOUTH ST STE 500
SOUTHBRIDGE, MA
ZIP 01550-051
Phone: (866) 258-4738

The provider's authorized official is Pamela Anne Horsfall .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (508) 897-1501.

The CLIA number assigned to this NPI record is 22D2291407 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2023 and was last updated on 8/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0208XClinic/CenterRadiology, MobileYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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