SHIELDS SIGNATURE IMAGING LLC NPI 1417320912

NPI Information

NPI: 1417320912
Provider Name: SHIELDS SIGNATURE IMAGING, LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

CLIA Number: 22D2119841

Address:
680 CENTRE ST
BROCKTON, MA
ZIP 02302
Phone: (866) 258-4738
Get Directions

SHIELDS SIGNATURE IMAGING, LLC is a radiology and mobile clinic center in Brockton, MA. SHIELDS SIGNATURE IMAGING, LLC NPI is 1417320912. The provider is registered as an organization entity type.

The provider's business location address is:

680 CENTRE ST
BROCKTON, MA
ZIP 02302-308
Phone: (866) 258-4738

The provider's authorized official is Arthur Byrd .
The authorized official title is Cfo and has the following contact phone number (617) 376-7416.

The CLIA number assigned to this NPI record is 22D2119841 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 9/28/2021.

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
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »