Provider Demographics
NPI:1689354292
Name:UMASS MEMORIAL MRI & IMAGING CENTER LLC
Entity Type:Organization
Organization Name:UMASS MEMORIAL MRI & IMAGING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR, PEC
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HORSFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-897-1501
Mailing Address - Street 1:700 CONGRESS ST STE 204
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0928
Mailing Address - Country:US
Mailing Address - Phone:866-258-4738
Mailing Address - Fax:888-662-4700
Practice Address - Street 1:157 UNION ST STE 100
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1228
Practice Address - Country:US
Practice Address - Phone:508-486-5479
Practice Address - Fax:774-843-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile