PREMIER DIAGNOSTIC SERVICES, INC. (NPI# 1659377802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659377802 |
| Entity Type | Organization |
| Organization Name | PREMIER DIAGNOSTIC SERVICES, INC. |
| Practice Address |
54 Bodwell St Suite C Avon MA 02322-1111 |
| Practice Telephone | 5085845600 |
| Practice Fax Number | 5085846362 |
| Mailing Telephone | 5085845600 |
| Mailing Fax Number | 5085846362 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-02-28 |
| Authorized Official Name | MR. WILLIAM MCCURDY (PRESIDENT / OWNER) |
| Authorized Official Telephone | 5085845600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246W00000X | Technician, Cardiology | Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1526260 | 05 | |
| MA | BCMA IPDL# | 041169 | 01 |
| MA | MA BC PROV | 327019 | 01 |
| NH | NH ANTHEM BC PROV | 76Y00737NH01 | 01 |
| MA | 1850091 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER DIAGNOSTIC SERVICES, INC. | 54 Bodwell Street, Avon, Ma 02322 |
| Street Address |
54 BODWELL ST SUITE C |
| City | AVON |
| State | MA |
| Zip Code | 02322-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134307408 | Premier Diagnostic Services Inc 2 | Technician, Cardiology | 54 Bodwell St, Rear, Avon, MA 02322-1111 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942478284 | Wendy Champagnie Williams | Social Worker | 185 North Main Street, Avon, MA 02322 | 2008-02-20 |
| 1952521395 | Bruce Mitchell Doyle | Dentist | 255 West Main St, Avon, MA 02322 | 2007-04-26 |
| 1720112527 | Town of Avon | Local Education Agency (LEA) | 12 Patrick Clark Drive, Avon, MA 02322 | 2007-03-15 |
| 1033229653 | Costco Wholesale Corporation | Pharmacy | 120 Stockwell Dr, Avon, MA 02322 | 2006-08-30 |
| 1649319476 | Grow-associates, Inc. | Day Training, Developmentally Disabled Services | 101 Wales Ave, Avon, MA 02322-1006 | 2007-02-06 |
| 1891181897 | Costco Wholesale Corporation | Hearing Aid Equipment | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-04-07 |
| 1639563836 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-03-25 |
| 1922345321 | Cathleen Ellen Brien | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2013-01-07 |
| 1134465974 | Laurie Ann Barron | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2012-12-26 |
| 1518232073 | Mary Elizabeth Sullivan | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2012-03-16 |
| Find all providers in zip 02322 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982130167 | Steven Amato | Radiologic Technologist | 365 Lincoln St, Stoughton, MA 02072-4137 | 2017-05-07 |
| 1316299498 | Dmitriy Shlemanov | Radiologic Technologist | 70 Court St. Same Day Ultrasound, Suite # 6, Westfield, MA 01085-3521 | 2012-10-12 |
| 1558667733 | Advantage Imaging Solutions, LLC | Radiologic Technologist | 220 Forbes Rd, Suite 304, Braintree, MA 02184-2705 | 2011-02-04 |
| 1639379563 | Shared Diagnostic Services, Inc | Radiologic Technologist | 143 Federal St, Weymouth, MA 02188-2812 | 2007-07-19 |
| 1588747356 | Ultra Diagnostics Incorporated | Radiologic Technologist | 180 Gardner St, Hingham, MA 02043-3746 | 2006-10-23 |
| 1649367160 | Nancy N Ngo | Radiologic Technologist | 121 Wilmington Ave, Dorchester Center, MA 02124-4627 | 2006-10-06 |
| 1649233156 | Shaila Ashok Cholli | Radiologic Technologist | 2 Cthouse Ln Un, Unit 11, Chelmsford, MA 01824-1715 | 2006-04-07 |
| 1972125102 | Youssef Mina | Radiologic Technologist | 67 Union St, Natick, MA 01760-7700 | 2020-05-11 |
| 1114398609 | Christina Festog | Radiologic Technologist | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-10-09 |
| 1588920276 | Shared Diagnostic Services, Inc | Radiologic Technologist | 420 Main St, Suite 14, Walpole, MA 02081-3753 | 2012-04-06 |
| Find all providers with the same taxonomy | ||||
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| 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.