Southeastern Massachusetts Regional MRI, Limited Partnership
Organization Active NPI Magnetic Resonance Imaging (MRI) Clinic/Center · Brockton, MA
NPI 1013966282 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1013966282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
- License
- 4354 (MA)
- Legal business name
- SOUTHEASTERN MASSACHUSETTS REGIONAL MRI, LIMITED PARTNERSHIP
- Practice address
- 265 Westgate Dr
Brockton, MA 02301-1817 - Phone
- (508) 580-6482
- Fax
- (508) 897-3198
- NPI assigned
- May 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Kristen Delmore
- Title
- Cfo
- Phone
- (617) 376-7400
Practitioners 31
-
Rafael Antonio Altieri, M.D.
-
Nita Amornsiripanitch, M.D.
-
Erica Tyler Ghosh, M.D.
-
Inna E. Goldberg, M.D.
-
Jennifer L Lynch, MD
-
Kamran Masood, M.D
-
Adrienne R Newburg, M.D.
-
James Strain, M.D.
-
James N Suojanen, MD
-
Benjamin J. Swan, MD
-
Stephen T Sweriduk, M.D.
-
Monique M Tyminski, D.O.
-
Shambhavi Venkataraman, MBBS
-
Gopal R Vijayaraghavan, M.D.
-
David Chun Ming Yu, M.D.
-
Matthew P Chanin, MD
-
Ming He, M.D.
-
Lee Jay Hewett, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2042704 | Southeastern Massachusetts Regional MRI, LP | Certificate of waiver | May 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615001194 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5294719548 | Practice locations: Brockton, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | 4354 | MA | Yes |
Addresses
Primary practice location
265 Westgate Dr
Brockton, MA 02301-1817
Mailing address
700 Congress St Ste 204
Quincy, MA 02169-0928
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110028859A | Medicaid | MA |
Other names
- Brockton Regional MRI Center
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- Doreen Germaine Souza
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All providers in Brockton, MA · Magnetic Resonance Imaging (MRI) Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.