Healthcare Provider Details

I. General information

NPI: 1902855489
Provider Name (Legal Business Name): FALL RIVER/NEW BEDFORD REGIONAL MRI LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 ALLEN ST
NEW BEDFORD MA
02740-2107
US

IV. Provider business mailing address

55 CHRISTY DR
BROCKTON MA
02301-1813
US

V. Phone/Fax

Practice location:
  • Phone: 508-977-5700
  • Fax: 508-997-5005
Mailing address:
  • Phone: 508-897-1501
  • Fax: 508-897-1599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number4396
License Number StateMA

VIII. Authorized Official

Name: KRISTEN DELMORE
Title or Position: CFO
Credential:
Phone: 617-376-7400