Steward Pet Imaging, L.L.C.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

4NNJ Issued in MA

Legal business name

STEWARD PET IMAGING, L.L.C.

Practice address

199 Reedsdale Rd
Milton, MA 02186-3926

Phone

(877) 877-8455

Fax

(866) 927-0079

NPI assigned

Aug 20, 2008

Organization subpart

Yes

Parent organization

STEWARD PET IMAGING, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert E Guyon Jr.

Title

Coo

Phone

(617) 789-5047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Steward PET Imaging, LLC at Milton Hospital Doing business as

Part of

Steward Pet Imaging LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1669629747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623487",
            "telephone_number": "877-877-8455",
            "fax_number": "866-927-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863926",
            "telephone_number": "877-877-8455",
            "fax_number": "866-927-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD PET IMAGING, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD PET IMAGING, LLC",
        "enumeration_date": "2008-08-20",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "GUYON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "617-789-5047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MA",
            "license": "4NNJ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110073236C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steward PET Imaging, LLC at Milton Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eilakeisha Beverly Ann Spencer
• Jennifer Marie Spiess
• Richard Spiro, M.D.
• Square Smiles, PC
• Elizabeth Stansberry, RN
• Lisa Michelle Stirling, BS
• Victoria Stollmer
• Streaming Healthcare LLC
• Katherine Sullivan-Maher
• Catherine Teresa Sweeney Regan, DDS

• Mobile Radiology Clinic/Center in Milton, MA
• Providers in Milton, MA by specialty
• Mobile Radiology Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.