Organization
NORTH SHORE MAGNETIC IMAGING CENTER
Active
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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