BEDFORD MEDICAL IMAGING CENTER, LLC (NPI# 1669438461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669438461 |
| Entity Type | Organization |
| Organization Name | BEDFORD MEDICAL IMAGING CENTER, LLC |
| Practice Address |
703 Riverway Pl Bedford NH 03110-6768 |
| Practice Telephone | 6036687096 |
| Practice Fax Number | 6036696944 |
| Mailing Telephone | 6036687096 |
| Mailing Fax Number | 6036696944 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK D LUEDKE (PRESIDENT) |
| Authorized Official Telephone | 6036687096 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30009767 | 05 |
| Street Address |
703 RIVERWAY PL |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033173091 | Wane G Joselow | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-14 |
| 1316482292 | Jessica Paey | Physician Assistant | 703 Riverway Pl, Bedford, NH 03110-6768 | 2016-12-30 |
| 1346650959 | Thomas Alberico Jr. | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2014-05-05 |
| 1659505089 | Pauline M Bishop | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2009-05-13 |
| 1164604591 | Robert Remington Sprague | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2007-11-27 |
| 1891895348 | John C Loh | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-09-24 |
| 1255437984 | Elizabeth J Angelakis | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-09-16 |
| 1144265307 | New Hampshire Radiology Associates, Pllc | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-06-19 |
| 1629015409 | David D Hou | Radiology | 703 Riverway Pl, Bedford, NH 03110-6745 | 2006-06-01 |
| 1144285461 | Channing S Swan | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356828990 | New England Molecular Imaging, LLC | Clinic/Center | 160 S River Rd, Bedford, NH 03110-6927 | 2018-07-26 |
| 1184098600 | United Medical Group | Clinic/Center | 22750 Rockside Rd, Bedford, OH 44146-1574 | 2015-11-20 |
| 1083008080 | Bedford Ambulatory Surgical Center, LLC | Clinic/Center | 20 Washington Pl, Bedford, NH 03110-6743 | 2015-03-27 |
| 1326458191 | Mid-cities Cardiac Care Center, Pllc | Clinic/Center | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2014-05-02 |
| 1144265307 | New Hampshire Radiology Associates, Pllc | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-06-19 |
| 1780648915 | Southern New Hampshire Radiology Consultants PC | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558857615 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-02 |
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1780233056 | Speare Health Ventures, Inc. | Clinic/Center | 103 Boulder Point Dr, Plymouth, NH 03264-3168 | 2019-09-09 |
| 1295265411 | Convenientmd LLC | Clinic/Center | 125 Indian Rock Rd, Windham, NH 03087-2008 | 2017-06-20 |
| 1487899035 | Salem Radiology LLP | Clinic/Center | 23 Stiles Rd, Ste 102, Salem, NH 03079-2859 | 2008-12-11 |
| 1992834568 | Derry Medical Center | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2007-03-02 |
| 1891834545 | Derry Imaging Center LLC | Clinic/Center | 6 Tsienneto Rd, Suite 100l, Derry, NH 03038-1584 | 2007-02-06 |
| 1275569782 | New England Molecular Imaging, LLC | Clinic/Center | 6 Tsienneto Rd, Derry, NH 03038 | 2006-06-25 |
| 1992752604 | White Mountain Radiology Inc | Clinic/Center | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2006-05-28 |
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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.