UMASS MEMORIAL MRI & IMAGING CENTER, LLC (NPI# 1104188382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104188382 |
| Entity Type | Organization |
| Organization Name | UMASS MEMORIAL MRI & IMAGING CENTER, LLC |
| Practice Address |
275 Nichols Rd Fitchburg MA 01420-1919 |
| Mailing Address |
55 Christy Dr Brockton MA 02301-1813 |
| Practice Telephone | 8662584738 |
| Practice Fax Number | 8886624700 |
| Mailing Telephone | 5088971501 |
| Mailing Fax Number | 5088971599 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | MR. JEFFREY RONNER (CFO) |
| Authorized Official Telephone | 6173767416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
4P1X | MA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446325 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 55 Lake Ave N Ste H1-351a, Worcester, MA 01655-0002 | 2018-11-26 |
| 1073801551 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 28 Newton Street, Southborough, MA 01772-1215 | 2011-07-18 |
| 1689623563 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 214 Shrewsbury St, Worcester, MA 01604-4629 | 2006-05-09 |
| 1700835592 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 119 Belmont St, Worcester, MA 01605-2903 | 2006-05-09 |
| 1528017316 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 40 Wright St, Palmer, MA 01069-1138 | 2006-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | UMASS MEMORIAL MRI & IMAGING CENTER, LLC | 700 Congress Street, Ste 204, Quincy, MA 02169 |
| Street Address |
275 NICHOLS RD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581308 | Bruce A Bornstein | Radiology | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2005-07-08 |
| 1932747102 | Alyssa Aguiar | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-12-18 |
| 1972161735 | Molly Kate Vita | Dietitian, Registered | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-06-05 |
| 1265918718 | Katrina M Parkhurst | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2018-07-18 |
| 1366805707 | Jeannette L Ryan Alkasab | Family Medicine | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-04-02 |
| 1508228545 | Cailin Mcdeed | Student in an Organized Health Care Education/Training Program | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-03-28 |
| 1619336732 | Mary Ellen Tull | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-02-17 |
| 1902276991 | Ashley Jackson I | Counselor | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-10-02 |
| 1922494756 | Aimee Lynn Ferrante | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| 1508252362 | Elizabeth Zephir | Physician Assistant | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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| 1841447927 | Steward Pet Imaging, LLC | Clinic/Center | 735 Cambridge St, Brighton, MA 02135-2926 | 2008-08-20 |
| 1689623563 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 214 Shrewsbury St, Worcester, MA 01604-4629 | 2006-05-09 |
| 1558310474 | Baystate Mri & Imaging Center, LLC | Clinic/Center | 80 Wason Ave., Springfield, MA 01107-1119 | 2006-05-08 |
| 1487626644 | New England Mobile X-ray, Inc. | Clinic/Center | 3 Cabot Pl, Unit 9, Stoughton, MA 02072-4612 | 2006-02-02 |
| 1902421324 | Pdi Health Ma LLC | Clinic/Center | 1 Bridge St, Newton, MA 02458-1132 | 2020-06-11 |
| 1982165056 | Imaging Consultants Inc | Clinic/Center | 100 South St, Southbridge, MA 01550-4051 | 2019-03-29 |
| 1902367204 | Imaging Consultants Inc | Clinic/Center | 242 Green St, Gardner, MA 01440-1336 | 2019-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.