Organization Name: | CHELSEA MRI, PC |
NPI Number: | 1124321385 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT A SANTAMARIA (CFO) |
Mailing Address: | 265 Benton Dr Suite 105 East Longmeadow |
State: | MA US |
Postal Code: | 010283219 |
Phone Number: | 4135251192 |
Fax Number: | 4135252168 |
NPI Enumeration Date: | 12/09/2010 |
NPI Last Update Date: | 05/09/2011 |
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: |