Organization Name: | FOUR SEASONS IMAGING |
NPI Number: | 1013267053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERRIN ALLEN (EXECUTIVE DIRECTOR) |
Mailing Address: | 17 Riverside St Suite 101 Nashua |
State: | NH US |
Postal Code: | 030621304 |
Phone Number: | 6036891666 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |