| Organization Name: | BAYSTATE MRI & IMAGING CENTER LLC |
| NPI Number: | 1033459698 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF RONNER (CFO) |
| Mailing Address: | 725 North St Pittsfield |
| State: | MA US |
| Postal Code: | 012014109 |
| Phone Number: | 8662584738 |
| Fax Number: | 8886624700 |
| NPI Enumeration Date: | 02/19/2013 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |