Organization
IMAGING NETWORK OF RHODE ISLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN STAINKEN M.D. (DELEGATE)
(401) 334-2423
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, ROGERS WILLIAMS MEDICAL CENTER, PROVIDENCE, RI 02908-4728
(401) 456-2204
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2627-9
BLUE SHIELD
RI
05
—
9002627
—
RI
05
—
9775617
—
MA
Enumeration date
11/28/2005
Last updated
11/17/2009
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