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NORTH SHORE PET IMAGING CENTER NPI 1407898760


NPI Information

NPI: 1407898760
Provider Name: NORTH SHORE PET IMAGING CENTER
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
68 PROSPECT ST
PEABODY, MA
ZIP 01960
Phone: (978) 532-8960
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NORTH SHORE PET IMAGING CENTER is a radiology and mobile clinic center in Peabody, MA. NORTH SHORE PET IMAGING CENTER NPI is 1407898760. The provider is registered as an organization entity type.

The provider's business location address is:

68 PROSPECT ST
PEABODY, MA
ZIP 01960-605
Phone: (978) 532-8960
Fax: (978) 532-9163

The provider's authorized official is Eleanor None Richardson .
The authorized official title is Executive Director and has the following contact phone number (978) 573-3116.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 8/22/2020.


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
1261QR0208XClinic/CenterRadiology, Mobile4C5FMASSACHUSETTSYes

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
13732728OTHERMASSACHUSETTSAETNA
20034316OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH
3039669OTHERMASSACHUSETTSBC/BS OF MA
4AA20785OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH
5641402OTHERMASSACHUSETTSTUFTS HEALTH PLAN

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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