Merrimack Valley Pet PC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

446R Issued in NH

Legal business name

MERRIMACK VALLEY PET PC

Practice address

185 Queen City Ave
Manchester, NH 03101-7121

Phone

(603) 663-2370

Fax

(603) 663-2379

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mark R Taylor

Title

Ceo

Phone

(978) 933-9311

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• New England PET Imaging System Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Merrimack Valley Pet PC

  • Radiology Clinic/Center
  • Methuen, MA
  • NPI 1407802416

  7810945888

  Same PAC ID

Tax ID family

Merrimack Valley Pet PC2 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.

• Merrimack Valley Pet PC

  • Radiology Clinic/Center
  • Methuen, MA
  • NPI 1407802416
  NPD tax ID

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Greater Lowell Pet PC

  • Radiology Clinic/Center
  • Lowell, MA
  • NPI 1407802804

  Member Of

  NPD member
• Massachusetts Mobile Pet PC

  • Mobile Radiology Clinic/Center
  • Haverhill, MA
  • NPI 1861448797

  Member Of

  NPD member

Practitioners 1

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

• Samantha Harrington

  • Nuclear Radiology Physician
  • Boston, MA
  • NPI 1255795407
  NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1922055094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEW ENGLAND BUSINESS CENTER DR STE 103",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101080",
            "telephone_number": "978-933-9311",
            "fax_number": "978-933-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017121",
            "telephone_number": "603-663-2370",
            "fax_number": "603-663-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY PET PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-933-9311"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NH",
            "license": "446R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3184391",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30813476",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "626241",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "685730",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NH",
            "identifier": "15Y002275MA02",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England PET Imaging System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Ann Merrill, MS, LCMHC
• Kristen Merrill
• Kristen A Merrill
• Merrimack Emergency Physicians
• Merrimack Valley Orthopaedic Surgery
• Moez Messaoudi, MEDICAL INTERPRETER
• Isabelle Meszar
• Scott Methe, PHD
• Samuel D. Metivier, BA
• Metro Treatment of New Hampshire LP

• Mobile Radiology Clinic/Center in Manchester, NH
• Providers in Manchester, NH by specialty
• Mobile Radiology Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.