Organization · Type 2 NPI

Steward Pet Imaging, L.l.c.

Mobile Radiology Clinic/Center · Brockton, MA

NPI number 1679720379 Active

Practice location

235 North Pearl Street
Brockton, MA 02301-1794

Call (877) 877-8455 Map

Fax (866) 927-0079

Mailing address

800 Washington St
Norwood, MA 02062-3487

Specialties and licenses

Taxonomy	Code	License
Mobile Radiology Clinic/Center Primary	261QR0208X	4NNJ (MA)

Mobile Radiology Clinic/Center: Definition to come...

5 other providers at this address

Alejandro Y. Mendoza, MDPsychiatry Physician Brockton, MA NPI 1326086638
Bassel Ahmed Kotb GaballahStudent in an Organized Health Care Education/Training Program Brockton, MA NPI 1801712088
Fnu Farzeela, MDStudent in an Organized Health Care Education/Training Program Brockton, MA NPI 1770412348
Richard S. Herman, MDEmergency Medicine Physician Brockton, MA NPI 1124046966
Yi Tang, MDDiagnostic Radiology Physician Brockton, MA NPI 1720229149

Other mobile radiology clinic/center providers in Brockton

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NPI record

NPI: 1679720379
Entity type: Organization (Type 2)
Issued: Aug 25, 2008
Last updated: Jan 19, 2011
Status: Active
Subpart: Yes of Steward Pet Imaging, LLC

Other names

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Steward Pet Imaging, LLC at Good Samaritan Medical Center · doing business as

Authorized official

Mr. Robert E Guyon
COO
(617) 789-5047

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679720379

Steward Pet Imaging, L.l.c.'s National Provider Identifier is 1679720379, issued on Aug 25, 2008. The primary taxonomy on file is Mobile Radiology Clinic/Center (261QR0208X), and the practice location is in Brockton, MA. The record was last updated on Jan 19, 2011.