New England Molecular Imaging LLC
Organization Active NPI Magnetic Resonance Imaging (MRI) Clinic/Center · Raymond, NH
NPI 1619645561 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1619645561
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
- Legal business name
- NEW ENGLAND MOLECULAR IMAGING LLC
- Practice address
- 6 Old Fremont Rd.
104
Raymond, NH 03077 - Phone
- (603) 537-1363
- NPI assigned
- Sep 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Laura Kassa
- Title
- Sr Vice President
- Phone
- (904) 300-2777
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 8
Member organizations 1
Practitioners 6
-
Matthew Louise Levine, M.D.
-
William M. Sherman Jr., M.D.
-
Randy Maine Tauro, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220121000396 | NH | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1850378969 | Practice locations: Raymond, NH |
National Provider Directory
- Tax ID family
- New England Molecular Imaging LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Yes |
Addresses
Primary practice location
6 Old Fremont Rd.
104
Raymond, NH 03077
Mailing address
18201 Von Karman Ave Ste 600
Irvine, CA 92612-1176
Phone (800) 544-3215
Other providers in Raymond, NH
- Amy Lou Mitchell
- Michele R. Morrow
- Jonathan Murphy
- Marta Anna Neskey
- New England Molecular Imaging LLC
- New England Molecular Imaging LLC
- New England Molecular Imaging LLC
- Ryan Thai Duong Nguyen
- Sarah Elizabeth Nohmer
- Northeast Orthopaedic Alliance PLLC
All providers in Raymond, NH · Magnetic Resonance Imaging (MRI) Clinic/Center in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.