Aurora Breast MRI at Beverly Hospital, LLC

Organization Active NPI Magnetic Resonance Imaging (MRI) Clinic/Center · Danvers, MA

NPI 1124291729 · NPPES record last updated Feb 27, 2009

Key facts

NPI
1124291729
Entity type
Organization (NPI type 2)
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Legal business name
AURORA BREAST MRI AT BEVERLY HOSPITAL, LLC
Practice address
480 Maple St
Danvers, MA 01923-4061
Phone
(978) 975-7530
Fax
(978) 975-3181
NPI assigned
Apr 4, 2008
Organization subpart
No

Authorized official

Name
Robin Gosselin
Title
Billing Manager
Phone
(978) 975-7530

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X MA Yes

Addresses

Primary practice location

480 Maple St
Danvers, MA 01923-4061

Mailing address

39 High St
North Andover, MA 01845-2637

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 27, 2009.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1124291729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HIGH ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234061",
            "telephone_number": "978-975-7530",
            "fax_number": "978-975-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA BREAST MRI AT BEVERLY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "GOSSELIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "978-975-7530"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

All providers in Danvers, MA · Magnetic Resonance Imaging (MRI) Clinic/Center in Massachusetts

Sources for this page

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