Organization
BAYSTATE MRI & IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DELMORE (CFO)
(617) 376-7400
Entity
Organization
Contact information
Practice address
80 WASON AVE., SPRINGFIELD, MA 01107-1119
(413) 730-9200
(508) 897-3824
Mailing address
700 CONGRESS ST STE 204, QUINCY, MA 02169-0928
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
4JKJ
MA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
4JKJ
MA
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110029485A
—
MA
Enumeration date
05/08/2006
Last updated
04/17/2026
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