SHIELDS PET-CT AT EMERSON HOSPITAL LLC NPI 1760081566

NPI Information

NPI: 1760081566
Provider Name: SHIELDS PET-CT AT EMERSON HOSPITAL LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

CLIA Number: 22D2219512

Address:
54 BAKER AVENUE EXT STE 104
CONCORD, MA
ZIP 01742
Phone: (800) 258-4674
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SHIELDS PET-CT AT EMERSON HOSPITAL LLC is a radiology and mobile clinic center in Concord, MA. SHIELDS PET-CT AT EMERSON HOSPITAL LLC NPI is 1760081566. The provider is registered as an organization entity type.

The provider's business location address is:

54 BAKER AVENUE EXT STE 104
CONCORD, MA
ZIP 01742-137
Phone: (800) 258-4674

The provider's authorized official is Arthur J Byrd .
The authorized official title is Cfo and has the following contact phone number (617) 376-7430.

The CLIA number assigned to this NPI record is 22D2219512 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2020 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 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: 11/14/2023

NPI Synchronization or Removal

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