Boston Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

129878 Issued in MA

Legal business name

BOSTON IMAGING CENTER LLC

Practice address

65 Harrison Ave
#506
Boston, MA 02111-1924

Phone

(860) 801-0330

Fax

(860) 415-6388

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Wenxing Fan, M.D.

Title

Manager

Phone

(860) 801-0330

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1447654066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ADELLE DR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204457",
            "telephone_number": "860-801-0330",
            "fax_number": "860-415-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HARRISON AVE",
            "address_2": "#506",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111924",
            "telephone_number": "860-801-0330",
            "fax_number": "860-415-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "WENXING",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-801-0330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MA",
            "license": "129878",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MA",
            "license": "129878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Boston Medical & Rheumatologic Associates Inc
• Boston Medical Center
• Boston Medical Center
• Boston Medical Center

• Radiology Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Radiology Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.