Provider Demographics
NPI:1790731008
Name:RADIOLOGY & IMAGING, INC.
Entity Type:Organization
Organization Name:RADIOLOGY & IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VASILIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURLOUKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-495-1124
Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:DEPARTMENT 7990
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:413-495-1129
Mailing Address - Fax:413-827-7407
Practice Address - Street 1:759 CHESTNUT ST
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1619
Practice Address - Country:US
Practice Address - Phone:413-827-7426
Practice Address - Fax:413-827-7407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004000907Medicaid
MA003059805Medicaid
MA9749284Medicaid
MA9749284Medicaid
CT004000907Medicaid