Healthcare Provider Details

I. General information

NPI: 1205874930
Provider Name (Legal Business Name): RHODE ISLAND MEDICAL IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 METRO CENTER BLVD STE 2000
WARWICK RI
02886-1785
US

IV. Provider business mailing address

125 METRO CENTER BLVD STE 2000
WARWICK RI
02886-1785
US

V. Phone/Fax

Practice location:
  • Phone: 401-432-2500
  • Fax: 401-432-2457
Mailing address:
  • Phone: 401-432-2500
  • Fax: 401-453-8220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateRI

VIII. Authorized Official

Name: JOANN BARBATO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-432-2500