Umass Memorial MRI & Imaging Center LLC
Organization Active NPI Mobile Radiology Clinic/Center · Marlborough, MA
NPI 1689354292 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1689354292
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mobile Radiology Clinic/Center 261QR0208X
- Legal business name
- UMASS MEMORIAL MRI & IMAGING CENTER LLC
- Practice address
- 157 Union St Ste 100
Marlborough, MA 01752-1228 - Phone
- (508) 486-5479
- Fax
- (774) 843-7371
- NPI assigned
- Jul 19, 2023
- Organization subpart
- No
Authorized official
- Name
- Kristen Delmore
- Title
- Cfo
- Phone
- (617) 376-7400
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 4
Practitioners 1
-
Max Paul Rosen, MD MPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2295342 | Umass Memorial MRI & Imaging Center, LLC | Certificate of waiver | Dec 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230929002037 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8527019306 | Practice locations: Marlborough, MA |
National Provider Directory
- Tax ID family
- Umass Memorial MRI Imaging Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Yes |
Addresses
Primary practice location
157 Union St Ste 100
Marlborough, MA 01752-1228
Mailing address
700 Congress St Ste 204
Quincy, MA 02169-0928
Phone (866) 258-4738
Other providers in Marlborough, MA
- Stella Ukairo
- Amena Ullah
- Umass Memorial Medical Center, Inc
- Umass Memorial Medical Center, Inc.
- Umass Memorial MRI - Marlborough
- Chase Umberger
- Sarat Chandra Ummethala
- Nancy Umoh
- Nnenna Sylvie Uneke
- Union Dental Marlborough LLC
All providers in Marlborough, 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 Apr 17, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.