Organization · Type 2 NPI

MMDS of Boston

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Manchester, NH

NPI number 1295106136 Active

Practice location

95 Eddy Rd, Suite 611
Manchester, NH 03102-3266

Fax (617) 244-9730

Mailing address

48 Silver Lake Ave
Newton, MA 02458-1111

Specialties and licenses

TaxonomyCodeLicense
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary 335V00000X1943M (NH)

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the service…

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About NPI 1295106136

MMDS of Boston's National Provider Identifier is 1295106136, issued on Oct 19, 2015. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in Manchester, NH. The record was last updated on Oct 19, 2015.