SHIELDS MRI & IMAGING CENTER OF CAPE COD, LLC


Address: 2 Iyanough Rd, Route 28, W Yarmouth, MA 02673-8135
Phone: 5087788555

SHIELDS MRI & IMAGING CENTER OF CAPE COD, LLC (NPI# 1285683474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285683474
Entity Type Organization
Organization Name SHIELDS MRI & IMAGING CENTER OF CAPE COD, LLC
Practice Address 2 Iyanough Rd
Route 28
W Yarmouth
MA 02673-8135
Mailing Address 55 Christy Dr
Brockton
MA 02301-1813
Practice Telephone 5087788555
Practice Fax Number 5087788777
Mailing Telephone 5088971501
Mailing Fax Number 5088971599
Enumeration Date 2006-05-08
Last Update Date 2012-03-01
Authorized Official Name MR. JEFF RONNER (CFO)
Authorized Official Telephone 6173767400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA 110029561A 05

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations SHIELDS MRI & IMAGING CENTER OF CAPE COD, LLC 700 Congress St., Ste 204, Quincy, MA 02169

Office Location

Street Address 2 IYANOUGH RD
ROUTE 28
City W YARMOUTH
State MA
Zip Code 02673-8135

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1790037703 Wendy J Hartjen Technician, Other 44 Grace Avenue, West Yarmouth, MA 02673 2012-10-15
1881712750 Gail Haden Physical Therapy Assistant 579 Buck Island Road, Yarmouth, MA 02673 2007-03-27
1851486682 Cape Cod Medical Enterprises Inc Ambulance 57 Mid Tech Dr, West Yarmouth, MA 02673 2006-10-04
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1154432342 Joseph Anthony Pare Social Worker 572 Route 28 Unit 4, West Yarmouth, MA 02673 2006-08-31
1194831859 Stacey Anne Locascio Counselor 572 Main Street, Pare and Associates, West Yarmouth, MA 02673 2006-08-22
1497718035 Kathryn M Rudman Pediatrics 150 Ansel Hallet Rd, West Yarmouth, MA 02673 2006-04-06
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134764186 Winchester Hospital - Shields Mri LLC Clinic/Center 41 Highland Ave Ste G1, Winchester, MA 01890-1446 2019-11-14
1619446325 Umass Memorial Mri & Imaging Center, LLC Clinic/Center 55 Lake Ave N Ste H1-351a, Worcester, MA 01655-0002 2018-11-26
1245654557 Umass Memorial Mri & Imaging Center LLC Clinic/Center 55 Lake Ave N Ste H1-713b, Worcester, MA 01655-0002 2014-02-06
1073801551 Umass Memorial Mri & Imaging Center, LLC Clinic/Center 28 Newton Street, Southborough, MA 01772-1215 2011-07-18
1609952845 Central Massachusetts Magnetic Imaging Center Inc Clinic/Center 367 Plantation Street, Worcester, MA 01605 2006-10-31
1902855489 Fall River/new Bedford Regional Mri Limited Partnership Clinic/Center 361 Allen St, New Bedford, MA 02740-2107 2006-05-10
1144279274 South Shore Mri, Limited Partnership Clinic/Center 26 Rockway Ave, Weymouth, MA 02188-3906 2006-05-08
1831148014 Massachusetts Bay Regional Mri Limited Partnership Clinic/Center 161 Granite Ave, Dorchester Center, MA 02124-5453 2006-05-08
1730138868 Shields Mri of Framingham, LLC Clinic/Center 14 Cochituate Rd, Framingham, MA 01701-7915 2006-05-08
1134178346 Fall River-new Bedford Regional Mri, Limited Partnership Clinic/Center 313 Faunce Corner Rd, Dartmouth, MA 02747-1252 2006-05-08
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Competitor

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City W YARMOUTH
Zip Code 02673

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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