ALLSTAR DIAGNOSTIC IMAGING LLC


Address: 1180 Beacon St. Ste 2a, Brookline, MA 02146
Phone: 3392441980

ALLSTAR DIAGNOSTIC IMAGING LLC (NPI# 1730621335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730621335
Entity Type Organization
Organization Name ALLSTAR DIAGNOSTIC IMAGING LLC
Practice Address 1180 Beacon St. Ste 2a
Brookline
MA 02146
Mailing Address 1180 Beacon St
Suite 2a
Brookline
MA 02146-3806
Practice Telephone 3392441980
Mailing Telephone (339) 244-1980
Enumeration Date 2016-11-14
Last Update Date 2017-12-14
Authorized Official Name RACHELLE JONES (CLINICAL MANAGER/OWNER)
Authorized Official Telephone 3392441980
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 1180 BEACON ST. STE 2A
City BROOKLINE
State MA
Zip Code 02146

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1093322166 Mary Miller Student in an Organized Health Care Education/Training Program 27 Hurd Rd, Brookline, MA 02445-6911 2020-09-23
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLINE
Zip Code 02146

Improve Information

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Dataset Information

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.

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