Provider Type Icon

SHIELDS STURDY PET CT LLC NPI 1992178495


NPI Information

NPI: 1992178495
Provider Name: SHIELDS STURDY PET CT LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

CLIA Number: 22D2119842

Address:
211 PARK ST
ATTLEBORO, MA
ZIP 02703
Phone: (866) 258-4738
Get Directions

SHIELDS STURDY PET CT LLC is a radiology and mobile clinic center in Attleboro, MA. SHIELDS STURDY PET CT LLC NPI is 1992178495. The provider is registered as an organization entity type.

The provider's business location address is:

211 PARK ST
ATTLEBORO, MA
ZIP 02703-143
Phone: (866) 258-4738

The provider's authorized official is Arthur Byrd .
The authorized official title is Cfo and has the following contact phone number (617) 376-7416.

The CLIA number assigned to this NPI record is 22D2119842 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 10/15/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0208XClinic/CenterRadiology, MobileYes

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

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.