MEDICARE: PET-CT SERVICES BY TUFTS MEDICAL CENTER AND SHIELDS 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
1	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1750715165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PET-CT SERVICES BY TUFTS MEDICAL CENTER AND SHIELDS 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	:	14 COCHITUATE RD
Second Line	:	STE 1A
City	:	FRAMINGHAM
State	:	MA
Zip	:	01701-7915
Country	:	US
Telephone Number	:	866-258-4738
Fax Number	:	888-662-4700

Authorized Official
Title or Position	:	CFO
Name	:	KRISTEN DELMORE
Credential	:
Telephone Number	:	617-376-7400

Provider Enumeration Date	:	08/22/2013
Last Update Date	:	03/19/2026

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