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NPI Code Detail

MEDICARE: SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC

MEDICARE: SHIELDS IMAGING AT HEYWOOD HEALTHCARE 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/Center

General Provider Information

NPI Number : 1982340410
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC
Provider Business Mailing Address
First Line : 700 CONGRESS ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-0909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2033 MAIN ST
Second Line :
City : ATHOL
State : MA
Zip : 01331-3535
Country : US
Telephone Number : 800-258-4674
Fax Number :
Authorized Official
Title or Position : CFO
Name : KRISTEN DELMORE
Credential :
Telephone Number : 617-376-7400
Provider Enumeration Date : 05/09/2022
Last Update Date : 03/19/2026

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Directions to “SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC ” Practice Location

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