Organization
IMAGING CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BLOOM MD (PRESIDENT)
(978) 552-2600
Entity
Organization
Contact information
Practice address
761 WORCESTER RD, FRAMINGHAM, MA 01701-5224
(866) 245-5995
Mailing address
100 BAYVIEW CIR STE 400, NEWPORT BEACH, CA 92660-2984
(949) 242-5384
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
440327
MA
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008850
NEIGHBORHOOD HEALTH PLAN
MA
01
—
036769
BCBS
MA
01
—
0421008
CIGNA / HEALTHSOURCE
MA
05
—
1529871
—
MA
01
—
346646400
U.S. DEPT OF LABOR OWCP
MA
01
—
36984
FALLON
MA
01
—
626264
HARVARD PILGRIM HLTH CARE
MA
01
—
713587
TUFTS/ SECURE HORIZONS
MA
01
—
785146
CONNECTICARE
MA
01
—
81020
AETNA
MA
01
—
P00021368
RAILROAD MEDICARE
MA
Enumeration date
06/21/2006
Last updated
08/17/2010
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