STEWARD PET IMAGING LLC NPI 1841447927

NPI Information

NPI: 1841447927
Provider Name: STEWARD PET IMAGING, LLC

Doing Business As: STEWARD PET IMAGING, LLC AT ST. ELIZABETH'S MEDICAL CENTER

Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
735 CAMBRIDGE ST
BRIGHTON, MA
ZIP 02135
Phone: (877) 877-8455
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STEWARD PET IMAGING, LLC is a radiology and mobile clinic center in Brighton, MA. STEWARD PET IMAGING, LLC NPI is 1841447927. The provider is registered as an organization entity type.
The provider Is Doing Business As Steward Pet Imaging, Llc At St. Elizabeth's Medical Center.

The provider's business location address is:

735 CAMBRIDGE ST
BRIGHTON, MA
ZIP 02135-926
Phone: (877) 877-8455
Fax: (866) 927-0079

The provider's authorized official is Robert E Guyon .
The authorized official title is Coo and has the following contact phone number (617) 789-5047.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 1/13/2011.

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	4NNJ	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PTAN 000839306	MEDICARE PIN	MASSACHUSETTS
2	110073236B	MEDICAID	MASSACHUSETTS

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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