DEDHAM MRI INC


Address: 200 Providence Hwy Route 1, Ste 210, Dedham, MA 02026
Phone: 7813290600

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MA 1528980 05

Other Provider/Organization Names

Other Name Type Code
Open MRI of Dedham Other Name - Individual/Organization

Office Location

Street Address 200 PROVIDENCE HWY ROUTE 1
STE 210
City DEDHAM
State MA
Zip Code 02026

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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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NPI Name Taxonomy Address Enumeration
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1720398381 Fertility Solutions, P.C. Clinic/Center 45 Stergis Way, Dedham, MA 02026-2637 2010-10-18

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Competitor

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City DEDHAM
Zip Code 02026

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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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