Active NPI
Imaging Consultants Inc
- Mobile Radiology Clinic/Center
- Framingham, MA
National Provider Identifier
1487690335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- IMAGING CONSULTANTS INC
- Practice address
- 761 Worcester Rd
Framingham, MA 01701-5224 - Phone
- (866) 245-5995
- NPI assigned
- Jun 21, 2006
- Reactivated
- Nov 26, 2007
- Last updated
- Aug 17, 2010
- 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
- Dr. David Bloom, MD
- Title
- President
- Phone
- (978) 552-2600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 440327 | MA | |
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
761 Worcester Rd
Framingham, MA 01701-5224
Mailing address
100 Bayview Cir Ste 400
Newport Beach, CA 92660-2984
Phone (949) 242-5384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080724000502 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3870585284 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Worcester, MA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
600 Federal St
Andover, MA 01810
Phone (978) 552-2732
41 Montvale Ave
Ste 100
Stoneham, MA 02180
Phone (781) 224-5860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1487690335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BAYVIEW CIR STE 400",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602984",
"telephone_number": "949-242-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 WORCESTER RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017015224",
"telephone_number": "866-245-5995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2010-08-17",
"deactivation_date": "2006-06-22",
"reactivation_date": "2007-11-26",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-552-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "MA",
"license": "440327",
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.