UMASS MEMORIAL MRI & IMAGING CENTER, LLC (NPI# 1689623563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689623563 |
Entity Type | Organization |
Organization Name | UMASS MEMORIAL MRI & IMAGING CENTER, LLC |
Other Organization Name | UMASS MEMORIAL MRI CENTER |
Practice Address |
214 Shrewsbury St Worcester MA 01604-4629 |
Mailing Address |
55 Christy Dr Brockton MA 02301-1813 |
Practice Telephone | 5087567300 |
Practice Fax Number | 5087566411 |
Mailing Telephone | 5088971501 |
Mailing Fax Number | 5088971599 |
Enumeration Date | 2006-05-09 |
Last Update Date | 2016-02-01 |
Authorized Official Name | MR. JEFF RONNER (CFO) |
Authorized Official Telephone | 6173767400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
4P1X | MA | Ambulatory Health Care Facilities |
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
4P1X | MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110029486B | 05 |
Other Name | Type Code |
---|---|
UMass Memorial MRI Center | Doing Business As Name - Organization |
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 |
1104188382 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2012-06-13 |
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 |
214 SHREWSBURY ST |
City | WORCESTER |
State | MA |
Zip Code | 01604-4629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518913805 | Shields Radiology Associates | Radiology | 214 Shrewsbury St, Shields Radiology Department, Worcester, MA 01604-4629 | 2006-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
Find all providers in zip 01604 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
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 |
1245654557 | Umass Memorial Mri & Imaging Center LLC | Clinic/Center | 55 Lake Ave N Ste H1-713b, Worcester, MA 01655-0002 | 2014-02-06 |
1609952845 | Central Massachusetts Magnetic Imaging Center Inc | Clinic/Center | 367 Plantation Street, Worcester, MA 01605 | 2006-10-31 |
1669786323 | Central Massachusetts Magnetic Imaging Center, Inc. | Clinic/Center | 55 Lake Ave N, Suite H1-713, Worcester, MA 01655-0002 | 2010-08-04 |
1053648956 | Khashayar Rafatzand | Clinic/Center | 55 Lake Ave N, S2-824, Worcester, MA 01655-0002 | 2009-11-13 |
1437247244 | Aurora Breast Mri of Central Massachusetts, LLC | Clinic/Center | 67 Belmont St, Worcester, MA 01605-2657 | 2006-10-10 |
1700835592 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 119 Belmont St, Worcester, MA 01605-2903 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134764186 | Winchester Hospital - Shields Mri LLC | Clinic/Center | 41 Highland Ave Ste G1, Winchester, MA 01890-1446 | 2019-11-14 |
1073801551 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 28 Newton Street, Southborough, MA 01772-1215 | 2011-07-18 |
1902855489 | Fall River/new Bedford Regional Mri Limited Partnership | Clinic/Center | 361 Allen St, New Bedford, MA 02740-2107 | 2006-05-10 |
1285683474 | Shields Mri & Imaging Center of Cape Cod, LLC | Clinic/Center | 2 Iyanough Rd, Route 28, W Yarmouth, MA 02673-8135 | 2006-05-08 |
1144279274 | South Shore Mri, Limited Partnership | Clinic/Center | 26 Rockway Ave, Weymouth, MA 02188-3906 | 2006-05-08 |
1831148014 | Massachusetts Bay Regional Mri Limited Partnership | Clinic/Center | 161 Granite Ave, Dorchester Center, MA 02124-5453 | 2006-05-08 |
1730138868 | Shields Mri of Framingham, LLC | Clinic/Center | 14 Cochituate Rd, Framingham, MA 01701-7915 | 2006-05-08 |
1134178346 | Fall River-new Bedford Regional Mri, Limited Partnership | Clinic/Center | 313 Faunce Corner Rd, Dartmouth, MA 02747-1252 | 2006-05-08 |
1992156772 | Western Massachusetts Magnetic Resonance Services LLC | Clinic/Center | 444 Montgomery St, Chicopee, MA 01020-1969 | 2016-06-23 |
1366871469 | Shields Imaging of Lowell General Hospital LLC | Clinic/Center | 1 Hospital Dr, Lowell, MA 01852-1311 | 2013-11-08 |
Find all providers with the same taxonomy |
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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.