Organization
NORTH SHORE PET 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) 532-9163
Mailing address
68 PROSPECT ST, PEABODY, MA 01960-1605
(978) 532-8960
(978) 532-9163
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
4C5F
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034316
NEIGHBORHOOD HEALTH
MA
01
—
039669
BC/BS OF MA
MA
01
—
3732728
AETNA
MA
01
—
641402
TUFTS HEALTH PLAN
MA
01
—
AA20785
HARVARD PILGRIM HEALTH
MA
Enumeration date
06/12/2006
Last updated
08/22/2020
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