Umass Memorial MRI & Imaging Center, LLC

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

NPI 1619446325 · NPPES record last updated Apr 17, 2026

Key facts

NPI
1619446325
Entity type
Organization (NPI type 2)
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Legal business name
UMASS MEMORIAL MRI & IMAGING CENTER, LLC
Practice address
55 Lake Ave N Ste H1-351a
Worcester, MA 01655-0002
Phone
(774) 444-3052
NPI assigned
Nov 26, 2018
Organization subpart
No

Authorized official

Name
Kristen Delmore
Title
Cfo
Phone
(617) 376-7400

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 82

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190305001130 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8527019306 Practice locations: Worcester, MA

National Provider Directory

Tax ID family
Umass Memorial MRI Imaging Center LLC (5 organizations share this tax ID)

Locations

55 Lake Ave N
Ste H1351A
Worcester, MA 01655
Phone (774) 443-0520

Specialties & licenses

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

Addresses

Primary practice location

55 Lake Ave N Ste H1-351a
Worcester, MA 01655-0002

Mailing address

700 Congress St Ste 204
Quincy, MA 02169-0928

Other providers in Worcester, MA

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

Sources for this page

Verify at the official NPI Registry.