NPI: 1316463813
Provider Name: SHIELDS PET CT AT BERKSHIRE MEDICAL CENTER LLC
Doing Business As: SHIELDS PETCT AT BERKSHIRE MEDICAL CENTER
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization
Specialization: Radiology, Mobile
CLIA Number: 22D2276663
Address:
165 TOR CT
PITTSFIELD, MA
ZIP 01201
Phone: (866) 258-4738
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SHIELDS PET CT AT BERKSHIRE MEDICAL CENTER LLC is a radiology and mobile clinic center in Pittsfield, MA. SHIELDS PET CT AT BERKSHIRE MEDICAL CENTER LLC NPI is 1316463813. The provider is registered as an organization entity type.
The provider Is Doing Business As Shields Petct At Berkshire Medical Center.
The provider's business location address is:
165 TOR CT
PITTSFIELD, MA
ZIP 01201-001
Phone: (866) 258-4738
Fax: (888) 662-4700
The provider's authorized official is Arthur Byrd .
The authorized official title is Cfo and has the following contact phone number (617) 376-7400.
The CLIA number assigned to this NPI record is 22D2276663 - other - clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/16/2017 and was last updated on 10/25/2021.