| Organization Name: | UMASS MEMORIAL MRI & IMAGING CENTER, LLC |
| NPI Number: | 1073801551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF RONNER (CFO) |
| Mailing Address: | 28 Newton Street Southborough |
| State: | MA US |
| Postal Code: | 017721215 |
| Phone Number: | 5084864460 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 07/18/2011 |
| 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: | |