Provider Demographics
NPI:1598707093
Name:GREATER SPRINGFIELD MRI LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:GREATER SPRINGFIELD MRI LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-300-2777
Mailing Address - Street 1:8300 W SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:271 CAREW ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2377
Practice Address - Country:US
Practice Address - Phone:413-748-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4755261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1535072Medicaid
MA102796500OtherU.S. DEPT OF LABOR OWCP
MA601846OtherHARVARD PILGRIM HLTH CARE
MA981801OtherNETWORK HEALTH
MA12749OtherHEALTH NEW ENGLAND
MA0009810OtherNEIGHBORHOOD HEALTH PLAN
MA028869OtherBCBS
MA0424620OtherCIGNA / HEALTHSOURCE
MA000000006896OtherBOSTON MC HEALTHNET PLAN
MA803444OtherTUFTS/SECURE HORIZONS
MA1535072Medicaid
MA981801OtherNETWORK HEALTH