Lifespan of Massachusetts - Taunton Inc
Organization Active NPI Mobile Radiology Clinic/Center · Foxboro, MA
NPI 1679369342 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1679369342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mobile Radiology Clinic/Center 261QR0208X
- Legal business name
- LIFESPAN OF MASSACHUSETTS - TAUNTON INC
- Practice address
- 70 Walnut St
Foxboro, MA 02035-5312 - Phone
- (401) 444-7797
- NPI assigned
- Apr 17, 2025
- Organization subpart
- No
Authorized official
- Name
- Eva Greenwood
- Title
- SVP Finance
- Phone
- (401) 444-2221
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 6
Practitioners 63
-
Taro Aikawa, M.D.
-
Melissa Bartel, MD
-
Donn Kirk Beeson, MD
-
Timothy P. Braatz, M.D.
-
Brian H Breslaw, M.D.
-
Yulia Bronstein, M.D.
-
David D Burdette, MD
-
Michael J Caruso, D.O.
-
John Kingsley Chang, M.D
-
John E. Crouch, M.D.
-
Ketan Davae, MD
-
James D Fletcher, M.D.
-
Mazen Ghani, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250813000216 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2567995442 | Practice locations: Foxboro, MA |
National Provider Directory
- Tax ID family
- Lifespan of Massachusetts -
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Yes |
Addresses
Primary practice location
70 Walnut St
Foxboro, MA 02035-5312
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other providers in Foxboro, MA
- Lien Thi Le
- Amy Anne Leonard
- Victor Leung
- Bruce Levine
- Danielle D Levoshko
- Rosalyn Farinella Long
- Elisandra Lopes
- Jonathan Louis
- Robert Ludwig
- Rachel Luebbert
All providers in Foxboro, MA · Mobile Radiology Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. 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.