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NPI Code Detail

MEDICARE: UMASS MEMORIAL MRI & IMAGING CENTER, LLC

MEDICARE: UMASS MEMORIAL MRI & IMAGING CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0208XMobile Radiology Clinic/Center4P1XMA

General Provider Information

NPI Number : 1104188382
Entity Type Code : Organization
Provider Name (Legal Business Name) : UMASS MEMORIAL MRI & IMAGING CENTER, LLC
Provider Business Mailing Address
First Line : 700 CONGRESS ST STE 204
Second Line :
City : QUINCY
State : MA
Zip : 02169-0928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 275 NICHOLS RD
Second Line :
City : FITCHBURG
State : MA
Zip : 01420-1919
Country : US
Telephone Number : 866-258-4738
Fax Number : 888-662-4700
Authorized Official
Title or Position : CFO
Name : KIRSTEN DELMORE
Credential :
Telephone Number : 617-376-7400
Provider Enumeration Date : 06/13/2012
Last Update Date : 03/19/2026

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