Active NPI
Western Massachusetts Magnetic Resonance Services LLC
- Mobile Radiology Clinic/Center
- Athol, MA
National Provider Identifier
1639111958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 4380
- Legal business name
- WESTERN MASSACHUSETTS MAGNETIC RESONANCE SERVICES LLC
- Practice address
- 2033 Main St
Athol, MA 01331-3535 - Phone
- (978) 249-3511
- NPI assigned
- Jun 12, 2006
- 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
- William Larkin
- Title
- Cfo
- Phone
- (800) 544-3215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 4380 | MA | Primary |
Addresses
Primary practice location
2033 Main St
Athol, MA 01331-3535
Mailing address
18201 Von Karman Ave Ste 600
Irvine, CA 92612-1176
Phone (800) 544-3215
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711456 | Other | MA | TUFTS/SECURE HORIZONS |
| 102330300 | Other | MA | U.S. DEPT OF LABOR OWCP |
| 985455 | Other | MA | NETWORK HEALTH |
| 0113178 | Other | MA | AETNA |
| 603303 | Other | MA | HARVARD PILGRIM HEALTH CA |
| 1530259 | Medicaid | MA | |
| 17687 | Other | MA | HEALTH NEW ENGLAND |
| 0418278 | Other | MA | CIGNA / HEALTHSOURCE |
| 000000006899 | Other | MA | BOSTON MC HEALTHNET PLAN |
| 017769 | Other | MA | BCBS |
| 65689 | Other | MA | FALLON |
| 0008340 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 740694 | Other | MA | CONNECTICARE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Chicopee, MA
- NPI 1992156772
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577664000000",
"number": "1639111958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18201 VON KARMAN AVE STE 600",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121176",
"telephone_number": "800-544-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 MAIN ST",
"city": "ATHOL",
"state": "MA",
"postal_code": "013313535",
"telephone_number": "978-249-3511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MASSACHUSETTS MAGNETIC RESONANCE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A",
"authorized_official_last_name": "LARKIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "800-544-3215"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "MA",
"license": "4380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS/SECURE HORIZONS",
"identifier": "711456",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT OF LABOR OWCP",
"identifier": "102330300",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "985455",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0113178",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "603303",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1530259",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "17687",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / HEALTHSOURCE",
"identifier": "0418278",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MC HEALTHNET PLAN",
"identifier": "000000006899",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "017769",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "65689",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0008340",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "740694",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athol, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.