Organization Active NPI

Shared Diagnostic Services, Inc

  • Sonography Radiologic Technologist
  • Cambridge, MA
National Provider Identifier
1023063054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
SHARED DIAGNOSTIC SERVICES, INC
Practice address
799 Concord Ave
Cambridge, MA 02138-1048
Phone
(617) 868-9191
Fax
(617) 868-1490
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frederick C Ingram, ARDMS
Title
Vice President
Phone
(781) 340-2494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

799 Concord Ave
Cambridge, MA 02138-1048

Mailing address

143 Federal St
Suite 2
Weymouth, MA 02188-2812
Phone (781) 340-2494

National Provider Directory

National Provider Directory

Locations

143 Federal St
Ste 2
Weymouth, MA 02188

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023063054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FEDERAL ST",
            "address_2": "SUITE 2",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882812",
            "telephone_number": "781-340-2494",
            "fax_number": "781-340-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 CONCORD AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381048",
            "telephone_number": "617-868-9191",
            "fax_number": "617-868-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-340-2494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.