Central Massachusetts Magnetic Imaging Center, Inc.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

4359 Issued in MA

Legal business name

CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.

Practice address

55 Lake Ave N
Suite H1-713
Worcester, MA 01655-0002

Phone

(774) 443-0500

Fax

(508) 831-3715

NPI assigned

Aug 4, 2010

Organization subpart

Yes

Parent organization

CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. Jeffrey L Pollier

Title

Director

Phone

(508) 754-6026

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Central Massachusetts M

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Massachusetts Magnetic Imaging Center Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Worcester, MA
  • NPI 1609952845
  NPPES parent name

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1669786323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052323",
            "telephone_number": "508-754-6026",
            "fax_number": "508-831-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "SUITE H1-713",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "774-443-0500",
            "fax_number": "508-831-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "POLLIER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-754-6026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MA",
            "license": "4359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529676",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.