| Organization Name: | SHIELDS MRI & IMAGING CENTER OF CAPE COD, LLC |
| NPI Number: | 1285683474 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF RONNER (CFO) |
| Mailing Address: | 2 Iyanough Rd Route 28 W Yarmouth |
| State: | MA US |
| Postal Code: | 026738135 |
| Phone Number: | 5087788555 |
| Fax Number: | 5087788777 |
| 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: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |