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Organization
IMAGING CONSULTANTS, INC.
Active
Organization
IMAGING CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. BLOOM MD (PRESIDENT)
(978) 552-2600
Entity
Organization
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-8000
Mailing address
600 FEDERAL ST, ANDOVER, MA 01810-1039
(978) 552-2600
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
440413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008850
NEIGHBORHOOD HEALTH PLAN
MA
01
—
036769
BCBS
MA
01
—
0421008
CIGNA / HEALTHSOURCE
MA
01
—
13270
HEALTH NEW ENGLAND
MA
01
—
36984
FALLON
MA
01
—
626264
HARVARD PILGRIM HLTH CARE
MA
01
—
713587
TUFTS/SECURE HORIZONS
MA
01
—
785146
CONNECTICARE
MA
01
—
81020
AETNA
MA
05
—
9752731 B
—
MA
05
—
9758861
—
MA
Enumeration date
06/21/2006
Last updated
08/22/2020
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