Healthcare Provider Details

I. General information

NPI: 1851552905
Provider Name (Legal Business Name): RADIOLOGY & IMAGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2008
Last Update Date: 10/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 MAIN ST SUITE 1007
SPRINGFIELD MA
01103-1664
US

IV. Provider business mailing address

1350 MAIN ST SUITE 1007
SPRINGFIELD MA
01103-1664
US

V. Phone/Fax

Practice location:
  • Phone: 413-495-1129
  • Fax: 413-827-7407
Mailing address:
  • Phone: 413-495-1129
  • Fax: 413-827-7407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. VASILIOS TOURLOUKIS
Title or Position: CFO
Credential:
Phone: 413-495-1124