Organization
GREATER LOWELL PET PC
Active
Other names
New England PET of Greater Lowell
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R TAYLOR (CEO)
(978) 933-9311
Entity
Organization
Contact information
Practice address
2 HOSPITAL DR, LOWELL, MA 01852-1311
(978) 458-9872
(978) 458-9876
Mailing address
35 NEW ENGLAND BUSINESS CENTER DR STE 103, ANDOVER, MA 01810-1080
(978) 933-9302
(789) 337-8209
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
67-0397
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029226
NEIGHBORHOOD HEALTH
—
01
—
3184313
AETNA
—
01
—
626417
HARVARD PILGRIM
—
01
—
699024
TUFTS
—
05
—
9726730
—
MA
01
—
M18082
BLUE CROSS OF MA
—
Enumeration date
05/26/2006
Last updated
01/16/2025
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