Healthcare Provider Details

I. General information

NPI: 1558667733
Provider Name (Legal Business Name): ADVANTAGE IMAGING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CONGRESS ST STE 103
QUINCY MA
02169-0907
US

IV. Provider business mailing address

300 CONGRESS ST STE 103
QUINCY MA
02169-0907
US

V. Phone/Fax

Practice location:
  • Phone: 781-848-0085
  • Fax:
Mailing address:
  • Phone: 781-848-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471M2300X
TaxonomyMammography Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: CHERIS HERSEY
Title or Position: COO
Credential:
Phone: 617-943-1812