Active NPI
Shields and Atrius Health Pet-CT at Dedham LLC
- Mobile Radiology Clinic/Center
- Dedham, MA
National Provider Identifier
1053143487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- SHIELDS AND ATRIUS HEALTH PET-CT AT DEDHAM LLC
- Doing business as
- Shields PET/CT with Atrius Health
- Practice address
- 40 Allied Dr Ste 112-a
Dedham, MA 02026-6146 - Phone
- (866) 258-4738
- Fax
- (888) 662-4700
- NPI assigned
- Aug 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Delmore
- Title
- Cfo
- Phone
- (617) 376-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
40 Allied Dr Ste 112-a
Dedham, MA 02026-6146
Mailing address
700 Congress St Ste 204
Quincy, MA 02169-0928
Phone (866) 258-4738
Other names 1
- Shields PET/CT with Atrius Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250207001349 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8426588369 | Practice locations: Dedham, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2314395 | Shields and Atrius Health Pet/CT at Dedham, LLC | Certificate of waiver | Nov 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
40 Allied Dr
Ste 112A
Dedham, MA 02026
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1902820756
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1245551712
-
- Diagnostic Radiology Physician
- Brockton, MA
- NPI 1689627614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1053143487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CONGRESS ST STE 204",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690928",
"telephone_number": "866-258-4738",
"fax_number": "888-662-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ALLIED DR STE 112-A",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266146",
"telephone_number": "866-258-4738",
"fax_number": "888-662-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIELDS AND ATRIUS HEALTH PET-CT AT DEDHAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-15",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "DELMORE",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "617-376-7400"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shields PET/CT with Atrius Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.