MMDS OF BOSTON (NPI# 1295106136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295106136 |
| Entity Type | Organization |
| Organization Name | MMDS OF BOSTON |
| Practice Address |
95 Eddy Rd Suite 611 Manchester NH 03102-3266 |
| Mailing Address |
48 Silver Lake Ave Newton MA 02458-1111 |
| Practice Telephone | 6172449729 |
| Practice Fax Number | 6172449730 |
| Mailing Telephone | 6172449729 |
| Mailing Fax Number | 6172449730 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | MR. RICHARD SCOTT GRINLEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 6172449729 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1943M | NH | Suppliers |
| Street Address |
95 EDDY RD SUITE 611 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316106578 | Professional Ultrasound Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 588 Vann Ln, Manchester, TN 37355-5002 | 2008-06-03 |
| 1275729089 | Imaging Diagnostics In Motion, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 83 Hanover St, Suite 1b, Manchester, NH 03101-2216 | 2007-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308120 | Pdi Health Nh LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Tara Blvd, Nashua, NH 03062-2809 | 2020-05-20 |
| 1265054878 | Pdi Health Nh LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Tara Blvd Ste 200, Nashua, NH 03062-2809 | 2020-05-18 |
| 1770976896 | Lrghealthcare | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 80 Highland St, Laconia, NH 03246-3235 | 2015-03-13 |
| City | MANCHESTER |
| Zip Code | 03102 |
Please comment or provide details below to improve the information on MMDS OF BOSTON.
| 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.