Organization
PREMIER DIAGNOSTIC SERVICES INC 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MCCURDY (PRESIDENT / OWNER)
(508) 584-5600
Entity
Organization
Contact information
Practice address
378 PAGE ST STE 410, STOUGHTON, MA 02072-1124
(508) 584-5600
(508) 584-6362
Mailing address
378 PAGE ST STE 410, STOUGHTON, MA 02072-1124
(508) 584-5600
(508) 584-6362
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041169
BCMA IPDL#
MA
05
—
110031508
—
MA
05
—
1526260
—
MA
05
—
18500091
—
MA
01
—
327019
MA BC
MA
01
—
470000076
RAILROAD MCR
—
01
—
76Y00737NH01
NH ANTHEM BC
NH
Enumeration date
02/08/2008
Last updated
08/11/2022
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