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Organization
WESTERN MASSACHUSETTS MAGNETIC RESONANCE SERVICES LLC
Active
Organization
WESTERN MASSACHUSETTS MAGNETIC RESONANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LARKIN (CFO)
(800) 544-3215
Entity
Organization
Contact information
Practice address
2033 MAIN ST, ATHOL, MA 01331-3535
(978) 249-3511
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
4380
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006899
BOSTON MC HEALTHNET PLAN
MA
01
—
0008340
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0113178
AETNA
MA
01
—
017769
BCBS
MA
01
—
0418278
CIGNA / HEALTHSOURCE
MA
01
—
102330300
U.S. DEPT OF LABOR OWCP
MA
05
—
1530259
—
MA
01
—
17687
HEALTH NEW ENGLAND
MA
01
—
603303
HARVARD PILGRIM HEALTH CA
MA
01
—
65689
FALLON
MA
01
—
711456
TUFTS/SECURE HORIZONS
MA
01
—
740694
CONNECTICARE
MA
01
—
985455
NETWORK HEALTH
MA
Enumeration date
06/12/2006
Last updated
12/30/2019
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