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Organization
NORTHWESTERN RI IMAGING CENTER, LLC
Active
Organization
NORTHWESTERN RI IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A SANTAMARIA (CHIEF FINANCIAL OFFICER)
(781) 569-6541
Entity
Organization
Contact information
Practice address
1526 ATWOOD AVE, JOHNSTON, RI 02919-3289
(401) 331-0900
(401) 455-0909
Mailing address
800 W CUMMINGS PARK, SUITE 1350, WOBURN, MA 01801-6372
(781) 569-6541
(781) 569-6557
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
ACF01564
RI
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NW46602
—
RI
Enumeration date
05/18/2006
Last updated
03/31/2008
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