Boston Open MRI, LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

BOSTON OPEN MRI, LLC

Practice address

385 Western Ave
Brighton, MA 02135-1005

Phone

(617) 782-1690

Fax

(617) 782-1735

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Douglas

Title

Credentialing Manager

Phone

(502) 477-1815

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902809064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 WESTERN AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351005",
            "telephone_number": "617-782-1690",
            "fax_number": "617-782-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 WESTERN AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351005",
            "telephone_number": "617-782-1690",
            "fax_number": "617-782-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-477-1815",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531760",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging Radiologic Technologist in Brighton, MA
• Providers in Brighton, MA by specialty
• Magnetic Resonance Imaging 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.