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General NPI Number Information
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NPI Number | 1487690335
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Entity Type | Organization
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Legal Business Name | IMAGING CONSULTANTS INC
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 761 WORCESTER RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5224
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Country | US
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Telephone | 866-245-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 100 BAYVIEW CIR STE 400
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2984
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Country | US
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Telephone | 949-242-5384
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID BLOOM
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Credential | MD
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Telephone | 978-552-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 440327
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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