MASSACHUSETTS MOBILE PET PC NPI 1861448797

NPI Information

NPI: 1861448797
Provider Name: MASSACHUSETTS MOBILE PET PC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
25 HIGHLAND AVE
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 689-4738
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MASSACHUSETTS MOBILE PET PC is a radiology and mobile clinic center in Newburyport, MA. MASSACHUSETTS MOBILE PET PC NPI is 1861448797. The provider is registered as an organization entity type.

The provider's business location address is:

25 HIGHLAND AVE
NEWBURYPORT, MA
ZIP 01950-867
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) 687-2321.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/31/2011.

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	44-0373	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	0032507	OTHER		NEIGHBORHOOD HEALTH
2	327086	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	696200	OTHER		TUFTS
4	M18139	OTHER		BLUE CROSS OF MA
5	706023	OTHER		HARVARD PILGRIM
6	3137889	OTHER		AETNA
7	972781	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

NPI Synchronization or Removal

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