MASSACHUSETTS MOBILE PET PC NPI 1861448797

NPI Information

  • NPI: 1861448797
  • Provider Name: MASSACHUSETTS MOBILE PET PC
  • Classification: Clinic/Center - 261QR0208X
  • Specialization: Radiology, Mobile
  • Entity Type: Organization
  • Address: 140 LINCOLN AVE
    HAVERHILL, MA
    ZIP 01830
  • Phone: (978) 689-4738

Map and Directions

Get Directions

NPI Details

MASSACHUSETTS MOBILE PET PC is a radiology and mobile clinic center in Haverhill, MA. MASSACHUSETTS MOBILE PET PC NPI is 1861448797. The provider is registered as an organization entity type.

The provider's business location address is:

140 LINCOLN AVE
HAVERHILL, MA
ZIP 01830-700
Phone: (978) 689-4738
Fax: (978) 682-0984

The provider's authorized official is Mark R Taylor .
The authorized official title is Ceo and has the following contact phone number (978) 933-9311.

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.

  • Piflufolastat f-18, diagnostic, 1 millicurie (HCPCS:A9595)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)

The enumeration date for this NPI number is 5/25/2006 and was last updated on 1/16/2025.

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
1261QR0208XClinic/CenterRadiology, Mobile44-0373MASSACHUSETTSYes

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
1706023OTHERHARVARD PILGRIM
2M18139OTHERBLUE CROSS OF MA
30032507OTHERNEIGHBORHOOD HEALTH
4972781MEDICAIDMASSACHUSETTS
5696200OTHERTUFTS
63137889OTHERAETNA

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

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