Umass Memorial MRI & Imaging Center, LLC

Organization Active NPI Magnetic Resonance Imaging (MRI) Clinic/Center · Worcester, MA

NPI 1689623563 · NPPES record last updated Apr 17, 2026

Key facts

NPI
1689623563
Entity type
Organization (NPI type 2)
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
License
4P1X (MA)
Legal business name
UMASS MEMORIAL MRI & IMAGING CENTER, LLC
Practice address
214 Shrewsbury St
Worcester, MA 01604-4629
Phone
(508) 756-7300
Fax
(508) 756-6411
NPI assigned
May 9, 2006
Organization subpart
No

Authorized official

Name
Kristen Delmore
Title
Cfo
Phone
(617) 376-7400

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 82

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2295326Umass Memorial MRI & Imaging Center, LLC
214 Shrewsbury St, Worcester, MA 01604
Certificate of waiverDec 7, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120622000042 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8527019306 Practice locations: Worcester, MA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 4P1X MA Yes
Radiology Clinic/Center 261QR0200X
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

214 Shrewsbury St
Worcester, MA 01604-4629

Mailing address

700 Congress St Ste 204
Quincy, MA 02169-0928

Other identifiers

IdentifierTypeStateIssuer
110029486BMedicaidMA

Other names

  • UMass Memorial MRI Center Doing business as

Other providers in Worcester, MA

All providers in Worcester, MA · Magnetic Resonance Imaging (MRI) Clinic/Center in Massachusetts

Sources for this page

Verify at the official NPI Registry.