Memorial X-Ray Services, LTD.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HOS00128 Issued in RI

Legal business name

MEMORIAL X-RAY SERVICES, LTD.

Practice address

111 Brewster St
Pawtucket, RI 02860-4400

Phone

(401) 729-2836

Fax

(401) 729-2721

NPI assigned

Aug 20, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol J Desena

Title

Assistant Patient Accounts Manager

Phone

(401) 729-2836

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1730294950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028621908",
            "telephone_number": "401-729-2836",
            "fax_number": "401-729-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2836",
            "fax_number": "401-729-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL X-RAY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "DESENA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "401-729-2836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "HOS00128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009000660",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009742557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital
• Memorial Hospital
• Memorial Hospital
• Memorial Hospital of Rhode Island Physicians, Inc. (MHRI - Family Care Center-Internal Medicine Clinic)
• Memorial Hospital of Ri
• Hannah Alexis Mendelsohn, MS, CF-SLP
• Kay-Lee Mendes
• Nelson Mendes, DO
• Nora Mends
• Mhri/Brown University

• Diagnostic Radiology Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Diagnostic Radiology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.