Organization Name: | NORTH SHORE MAGNETIC IMAGING CENTER |
NPI Number: | 1053353599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELEANOR NONE RICHARDSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 68 Prospect St Peabody |
State: | MA US |
Postal Code: | 019601605 |
Phone Number: | 9785328960 |
Fax Number: | 9785320633 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | 4385 |
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: |