Healthcare Provider Details

I. General information

NPI: 1487626644
Provider Name (Legal Business Name): NEW ENGLAND MOBILE X-RAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CABOT PL UNIT 9
STOUGHTON MA
02072-4612
US

IV. Provider business mailing address

3 CABOT PL UNIT 9
STOUGHTON MA
02072-4612
US

V. Phone/Fax

Practice location:
  • Phone: 800-636-9729
  • Fax: 781-341-0053
Mailing address:
  • Phone: 800-636-9729
  • Fax: 781-341-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLAN E SMITH
Title or Position: PRESIDENT
Credential:
Phone: 800-636-9729