BOSTON BREAST DIAGNOSTIC CENTER LLC NPI 1811222920

NPI Information

  • NPI: 1811222920
  • Provider Name: BOSTON BREAST DIAGNOSTIC CENTER LLC
  • Classification: Clinic/Center - 261QR0206X
  • Specialization: Radiology, Mammography
  • Entity Type: Organization
  • CLIA Number: 22D1104583
  • Address: 165 WORCESTER ST
    WELLESLEY, MA
    ZIP 02481
  • Phone: (800) 476-0577

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NPI Details

BOSTON BREAST DIAGNOSTIC CENTER LLC is a radiology and mammography clinic center in Wellesley, MA. BOSTON BREAST DIAGNOSTIC CENTER LLC NPI is 1811222920. The provider is registered as an organization entity type.

The provider's business location address is:

165 WORCESTER ST
WELLESLEY, MA
ZIP 02481-615
Phone: (800) 476-0577
Fax: (978) 975-3181

The provider's authorized official is Catherine Magurn .
The authorized official title is Clinic Administrator and has the following contact phone number (617) 553-5305.

The CLIA number assigned to this NPI record is 22D1104583 - community clinic with a certificate type of Certificate of Waiver.

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.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of both breasts (HCPCS:77066)

The enumeration date for this NPI number is 10/7/2009 and was last updated on 4/8/2021.

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
1261QR0200XClinic/CenterRadiologyNo
2261QR0206XClinic/CenterRadiology, MammographyYes

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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