DEDHAM MRI INC (NPI# 1760400204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760400204 |
Entity Type | Organization |
Organization Name | DEDHAM MRI INC |
Other Organization Name | OPEN MRI OF DEDHAM |
Practice Address |
200 Providence Hwy Route 1 Ste 210 Dedham MA 02026 |
Mailing Address |
1455 Broad St 4th Floor Bloomfield NJ 07003 |
Practice Telephone | 7813290600 |
Practice Fax Number | 7813291713 |
Mailing Telephone | 9738739889 |
Mailing Fax Number | 9737071127 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2009-02-05 |
Authorized Official Name | JOHN VALLA (PRESIDENT) |
Authorized Official Telephone | 9738739850 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1528980 | 05 |
Other Name | Type Code |
---|---|
Open MRI of Dedham | Other Name - Individual/Organization |
Street Address |
200 PROVIDENCE HWY ROUTE 1 STE 210 |
City | DEDHAM |
State | MA |
Zip Code | 02026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
Find all providers in zip 02026 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871939595 | Massachusetts Bay Regional Mri Limited Partnership | Clinic/Center | 40 Allied Dr, Ste 112, Dedham, MA 02026-6146 | 2013-05-21 |
1720398381 | Fertility Solutions, P.C. | Clinic/Center | 45 Stergis Way, Dedham, MA 02026-2637 | 2010-10-18 |
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1730621335 | Allstar Diagnostic Imaging LLC | Clinic/Center | 1180 Beacon St. Ste 2a, Brookline, MA 02146 | 2016-11-14 |
1942609359 | Carewell Radiology Group | Clinic/Center | 2 Adams Pl, Suite 305, Quincy, MA 02169-7456 | 2014-08-21 |
1518114305 | Merrimack Valley Health Services Inc | Clinic/Center | 323 Lowell Street, Ll, Suite 002, North Andover, MA 01810 | 2008-08-22 |
1992979694 | Radiology Diagnostics LLC | Clinic/Center | 5a Norfolk Ave, South Easton, MA 02375 | 2008-04-15 |
1457478000 | Inmed Diagnostic Services of Massachusetts LLC | Clinic/Center | 59 Longwater Dr, Norwell, MA 02061-1611 | 2007-03-26 |
1023103942 | Bay State Dental & Medical Imaging Inc. | Clinic/Center | 1208b Vfw Pkwy, Suite 301, West Roxbury, MA 02132-4349 | 2006-10-04 |
1578514097 | Raytel Cardiac Services | Clinic/Center | 235 Bear Hill Road, Waltham, MA 02451 | 2006-05-12 |
1134187685 | Weymouth Mri, LLC | Clinic/Center | 420 Libbey Industrial Pkwy, Weymouth, MA 02189-3134 | 2006-05-03 |
1295797728 | Shaila Associates, Inc | Clinic/Center | 2 Courthouse Ln, Unit 11, Chelmsford, MA 01824-1715 | 2006-04-02 |
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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.