Caritas Christi Diagnostic Support Services

Primary specialty

Vascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471V0106X

Legal business name

CARITAS CHRISTI DIAGNOSTIC SUPPORT SERVICES

Practice address

736 Cambridge Street
C/O Caritas St. Elizabeth's Medical Center
Brighton, MA 02135-2907

Phone

(617) 562-5491

Fax

(617) 562-5481

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert M. Haddad, M.D.

Title

President

Phone

(617) 789-2500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851348106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE STREET",
            "address_2": "C/O CARITAS ST. ELIZABETH'S MEDICAL CENTER",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-5491",
            "fax_number": "617-562-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE STREET",
            "address_2": "C/O CARITAS ST. ELIZABETH'S MEDICAL CENTER",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-562-5491",
            "fax_number": "617-562-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS CHRISTI DIAGNOSTIC SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-789-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532189",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Brighton, MA
• Providers in Brighton, MA by specialty
• Radiologic Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.