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INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC NPI 1366569923


NPI Information

NPI: 1366569923
Provider Name: INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC

Doing Business As: INMED DIAGNOSTIC WOMEN'S CENTER

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
434 ROUTE 134
UNIT C-2
SOUTH DENNIS, MA
ZIP 02660
Phone: (508) 398-3617
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INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC is a radiology and mammography clinic center in South Dennis, MA. INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC NPI is 1366569923. The provider is registered as an organization entity type.
The provider Is Doing Business As Inmed Diagnostic Women's Center.

The provider's business location address is:

434 ROUTE 134
UNIT C-2
SOUTH DENNIS, MA
ZIP 02660-433
Phone: (508) 398-3617
Fax: (508) 398-3763

The provider's authorized official is Elizabeth Longton .
The authorized official title is Coo and has the following contact phone number (954) 510-3704.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 10/31/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0206XClinic/CenterRadiology, Mammography236414MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1327100MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
21529650MEDICAIDMASSACHUSETTS

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: 4/28/2024

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