Coolidge Corner Imaging
LBN: Coolidge Corner Imaging
Coolidge Corner Imaging is an health care organization with primary practice located at 356 Harvard St , Brookline MA 02446-2905. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty.
Coolidge Corner Imaging can be contacted via phone (617) 383-6585, or through Marianacci, Edward B via phone (617) 383-6585.
Contact Information
Primary practice address
356 Harvard St
Brookline MA 02446-2905
Phone: (617) 383-6585
Fax: (617) 383-6592
Website:
Authorized official contact:
Name: Marianacci, Edward B Doctor of Medicine (MD)
Phone: (617) 383-6585
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1700191889 |
|---|---|
| LBN Legal business name | Coolidge Corner Imaging |
| DBA Doing business as | |
| Authorized official | Marianacci, Edward B Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2010 |
| Last updated | Aug 23rd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700191889 | NPPES |
| Massachusetts | MEDICAID | 9750240 |
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