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NPI Code Detail

MEDICARE: SHIELDS IMAGING OF EASTERN MASSACHUSETTS LLC

MEDICARE: SHIELDS IMAGING OF EASTERN MASSACHUSETTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0208XMobile Radiology Clinic/Center4416MA

General Provider Information

NPI Number : 1437108222
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHIELDS IMAGING OF EASTERN MASSACHUSETTS LLC
Provider Business Mailing Address
First Line : 700 CONGRESS ST STE 204
Second Line :
City : QUINCY
State : MA
Zip : 02169-0928
Country : US
Telephone Number : 866-258-4738
Fax Number :
Provider Business Practice Location Address
First Line : 55 FOGG RD
Second Line : SOUTH SHORE HOSPITAL CAMPUS
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-2432
Country : US
Telephone Number : 866-258-4738
Fax Number :
Authorized Official
Title or Position : CFO
Name : KRISTEN DELMORE
Credential :
Telephone Number : 617-376-7400
Provider Enumeration Date : 05/09/2006
Last Update Date : 04/17/2026

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Directions to “SHIELDS IMAGING OF EASTERN MASSACHUSETTS LLC ” Practice Location

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