Provider Demographics
NPI:1952324006
Name:IMAGING ASSOCIATES, INC.
Entity Type:Organization
Organization Name:IMAGING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-767-5111
Mailing Address - Street 1:270 CENTRE ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1073
Mailing Address - Country:US
Mailing Address - Phone:781-767-5111
Mailing Address - Fax:781-767-5191
Practice Address - Street 1:270 CENTRE ST
Practice Address - Street 2:UNIT B
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1073
Practice Address - Country:US
Practice Address - Phone:781-767-5111
Practice Address - Fax:781-767-5191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207UN0901X, 2085N0904X, 2085U0001X, 246W00000X, 246XS1301X, 2471B0102X, 2471S1302X
MA44-00162471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Multi-Specialty
No246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Multi-Specialty
No2471B0102XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistBone DensitometryGroup - Multi-Specialty
No2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine TechnologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAIM 022169OtherMEDICARE PROVIDER NUMBER
MA1540688Medicaid
MAIM 022169OtherMEDICARE PROVIDER NUMBER
MA1540688Medicaid