MEDICARE: IMAGING ASSOCIATES, INC.

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
1	293D00000X	Physiological Laboratory		MA

General Provider Information

NPI Number	:	1699948125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAGING ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	270 CENTRE ST
Second Line	:	UNIT B
City	:	HOLBROOK
State	:	MA
Zip	:	02343-1073
Country	:	US
Telephone Number	:	781-767-5111
Fax Number	:	781-767-9355

Provider Business Practice Location Address
First Line	:	270 CENTRE ST
Second Line	:	UNIT B
City	:	HOLBROOK
State	:	MA
Zip	:	02343-1073
Country	:	US
Telephone Number	:	781-767-5111
Fax Number	:	781-767-9355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM DONOVAN
Credential	:
Telephone Number	:	781-767-5111

Provider Enumeration Date	:	04/04/2008
Last Update Date	:	04/04/2008

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