Organization
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.
Active
Parent organization
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.
Authorized official
MR. JEFFREY L POLLIER (DIRECTOR)
(508) 754-6026
Entity
Organization
Contact information
Practice address
55 LAKE AVE N, SUITE H1-713, WORCESTER, MA 01655-0002
(774) 443-0500
(508) 831-3715
Mailing address
367 PLANTATION ST, WORCESTER, MA 01605-2323
(508) 754-6026
(508) 831-3715
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
4359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529676
—
MA
Enumeration date
08/04/2010
Last updated
08/04/2010
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