NPIMap

Organization Active NPI

Massachusetts Bay Regional MRI Limited Partnership

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Dorchester Center, MA
National Provider Identifier
1831148014
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
4417 Issued in MA
Legal business name
MASSACHUSETTS BAY REGIONAL MRI LIMITED PARTNERSHIP
Practice address
161 Granite Ave
Dorchester Center, MA 02124-5453
Phone
(617) 282-4141
Fax
(508) 897-3699
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 4417 MA Primary

Addresses

Primary practice location

161 Granite Ave
Dorchester Center, MA 02124-5453

Mailing address

700 Congress St Ste 204
Quincy, MA 02169-0928

Other identifiers 1

IdentifierTypeStateIssuer
110029007BMedicaidMA

Other names 1

  • Mass Bay Regional MRI Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041230000168 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0749248227 Practice locations: Dorchestr Ctr, MA

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2304497Massachusetts Bay Regional MRI,161 Granite Ave, Dorchester, MA 02124Certificate of waiverMay 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mass Bay Regional MRI Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1831148014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST STE 204",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 GRANITE AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245453",
            "telephone_number": "617-282-4141",
            "fax_number": "508-897-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS BAY REGIONAL MRI LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "DELMORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-376-7400"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MA",
            "license": "4417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110029007B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mass Bay Regional MRI Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mass Bay Regional MRI Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.