Organization
NORTH SHORE MAGNETIC IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELEANOR NONE RICHARDSON (EXECUTIVE DIRECTOR)
(978) 573-3116
Entity
Organization
Contact information
Practice address
68 PROSPECT ST, PEABODY, MA 01960-1605
(978) 532-8960
(978) 532-0633
Mailing address
68 PROSPECT ST, PEABODY, MA 01960-1605
(978) 532-8960
(978) 532-0633
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
4385
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007590
NEIGHBORHOOD HEALTH
MA
01
—
018169
BC/BS OF MA
MA
05
—
1530496
—
MA
01
—
1600036
UNITED HEALTHCARE
MA
01
—
2226830784
CHAMPUS/TRICARE
MA
01
—
29480
AETNA
MA
01
—
31612
FALLON HEALTHCARE
MA
01
—
605118
HARVARD PILGRIM
MA
01
—
709656
TUFTS HEALTH
MD
Enumeration date
06/11/2006
Last updated
08/22/2020
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