MEDICARE: MASSACHUSETTS BAY REGIONAL MRI LIMITED PARTNERSHIP

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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	11087	MA

General Provider Information

NPI Number	:	1871939595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASSACHUSETTS BAY REGIONAL MRI LIMITED PARTNERSHIP

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	:	40 ALLIED DR
Second Line	:	STE 112
City	:	DEDHAM
State	:	MA
Zip	:	02026-6146
Country	:	US
Telephone Number	:	781-329-3201
Fax Number	:	781-329-3256

Authorized Official
Title or Position	:	CFO
Name	:	KRISTEN DELMORE
Credential	:
Telephone Number	:	617-376-7416

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	03/19/2026

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