GREATER LOWELL PET PC NPI 1407802804

NPI Information

  • NPI: 1407802804
  • Provider Name: GREATER LOWELL PET PC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: NEW ENGLAND PET OF GREATER LOWELL
  • Address: 2 HOSPITAL DR
    LOWELL, MA
    ZIP 01852
  • Phone: (978) 458-9872

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NPI Details

GREATER LOWELL PET PC is a radiology clinic center in Lowell, MA. GREATER LOWELL PET PC NPI is 1407802804. The provider is registered as an organization entity type.
The provider Is Doing Business As New England Pet Of Greater Lowell.

The provider's business location address is:

2 HOSPITAL DR
LOWELL, MA
ZIP 01852-311
Phone: (978) 458-9872
Fax: (978) 458-9876

The provider's authorized official is Mark R Taylor .
The authorized official title is Ceo and has the following contact phone number (978) 933-9311.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)

The enumeration date for this NPI number is 5/26/2006 and was last updated on 1/16/2025.

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
1261QR0200XClinic/CenterRadiology67-0397MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1699024OTHERTUFTS
29726730MEDICAIDMASSACHUSETTS
30029226OTHERNEIGHBORHOOD HEALTH
43184313OTHERAETNA
5626417OTHERHARVARD PILGRIM
6M18082OTHERBLUE CROSS OF MA

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: 11/21/2025

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