Organization Active NPI

Inmed Diagnostic Services of Massachusetts LLC

  • Diagnostic Radiology Physician
  • Stoneham, MA
National Provider Identifier
1932163151
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC
Practice address
3 Woodland Rd
Suite 217
Stoneham, MA 02180-1702
Phone
(781) 662-4300
Fax
(781) 662-4980
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Elizabeth Longton
Title
Coo
Phone
(954) 510-3704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3 Woodland Rd
Suite 217
Stoneham, MA 02180-1702

Mailing address

2400 E Commercial Blvd
Suite 826
Ft Lauderdale, FL 33308-4054
Phone (954) 510-3700

Other identifiers 1

IdentifierTypeStateIssuer
1541510MedicaidMA

National Provider Directory

National Provider Directory

Locations

8384 Solutions Ctr
Chicago, IL 60677

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1932163151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD",
            "address_2": "SUITE 826",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084054",
            "telephone_number": "954-510-3700",
            "fax_number": "954-510-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 217",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-662-4300",
            "fax_number": "781-662-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "LONGTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-510-3704"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.