# SHIELDS IMAGING OF PORTSMOUTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shields MRI Portsmouth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033527502
- **Authorized official:** MR. JEFFREY RONNER (CFO)
- **Authorized official phone:** (617) 376-7416

## Contact information

- **Practice address:** 1900 LAFAYETTE RD, SUITE B, PORTSMOUTH, NH 03801-5679
- **Practice address phone:** (800) 258-4674
- **Practice address fax:** (800) 253-7569
- **Mailing address:** 55 CHRISTY DR, BROCKTON, MA 02301-1813
- **Mailing address phone:** (508) 897-1501
- **Mailing address fax:** (508) 897-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 02/11/2016