Provider Demographics
NPI:1790736080
Name:LOWELL RADIOLOGICAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:LOWELL RADIOLOGICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-934-8237
Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:RADIOLOGY DEPARTMENT
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1311
Mailing Address - Country:US
Mailing Address - Phone:978-934-8237
Mailing Address - Fax:978-934-8285
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1311
Practice Address - Country:US
Practice Address - Phone:978-934-8237
Practice Address - Fax:978-934-8285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM15813Medicaid
MA9770895Medicaid