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Organization

IMAGING CONSULTANTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONI COOPER (DIRECTOR OF CREDENTIALING)
(754) 206-6198
Entity
Organization

Contact information

Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 746-2000
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(949) 242-5592

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QR0200X
Radiology Clinic/Center
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
13270
HEALTH NEW ENGLAND
MA
05
1529790
MA
01
346646400
U.S. DEPT OF LABOR OWCP
MA
01
36984
FALLON
MA
01
626264
HARVARD PILGRIM HEALTH CA
MA
01
713587
TUFTS HEALTH PLANS/SECURE
MA
Enumeration date
06/20/2006
Last updated
07/24/2023
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