Organization Name: | SOUTHEASTERN MASSACHUSETTS REGIONAL MRI, LIMITED PARTNERSHIP |
NPI Number: | 1013966282 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF RONNER (CFO) |
Mailing Address: | 265 Westgate Dr Brockton |
State: | MA US |
Postal Code: | 023011817 |
Phone Number: | 5085806482 |
Fax Number: | 5088973198 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | 4354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |