Organization Active NPI

Western Massachusetts Magnetic Resonance Services LLC

  • Mobile Radiology Clinic/Center
  • Athol, MA
National Provider Identifier
1639111958
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
4380 Issued in MA
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

Updated by the provider on Dec 30, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
711456OtherMATUFTS/SECURE HORIZONS
102330300OtherMAU.S. DEPT OF LABOR OWCP
985455OtherMANETWORK HEALTH
0113178OtherMAAETNA
603303OtherMAHARVARD PILGRIM HEALTH CA
1530259MedicaidMA
17687OtherMAHEALTH NEW ENGLAND
0418278OtherMACIGNA / HEALTHSOURCE
000000006899OtherMABOSTON MC HEALTHNET PLAN
017769OtherMABCBS
65689OtherMAFALLON
0008340OtherMANEIGHBORHOOD HEALTH PLAN
740694OtherMACONNECTICARE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.