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UMASS MEMORIAL MRI & IMAGING CENTER LLC NPI 1689623563


NPI Information

NPI: 1689623563
Provider Name: UMASS MEMORIAL MRI & IMAGING CENTER, LLC

Doing Business As: UMASS MEMORIAL MRI CENTER

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 22D2295326

Address:
214 SHREWSBURY ST
WORCESTER, MA
ZIP 01604
Phone: (508) 756-7300
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UMASS MEMORIAL MRI & IMAGING CENTER, LLC is a magnetic resonance imaging (mri) clinic center in Worcester, MA. UMASS MEMORIAL MRI & IMAGING CENTER, LLC NPI is 1689623563. The provider is registered as an organization entity type.
The provider Is Doing Business As Umass Memorial Mri Center.

The provider's business location address is:

214 SHREWSBURY ST
WORCESTER, MA
ZIP 01604-629
Phone: (508) 756-7300
Fax: (508) 756-6411

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 22D2295326 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 9/27/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, Mobile4P1XMASSACHUSETTSNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)4P1XMASSACHUSETTSYes

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
1110029486BMEDICAIDMASSACHUSETTS

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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