Coolidge Corner Imaging, Llc

LBN: Coolidge Corner Imaging, Llc
Coolidge Corner Imaging, Llc is an health care organization with primary practice located at 356 Harvard St , Brookline MA 02446-2905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Coolidge Corner Imaging, Llc can be contacted via phone (617) 383-6585, or through Pierce, Jean via phone (617) 661-1949.

Contact Information

Primary practice address
356 Harvard St Brookline MA 02446-2905
Phone: (617) 383-6585
Fax: (617) 383-6592
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Jean
Phone: (617) 661-1949

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1043364920
LBN Legal business name Coolidge Corner Imaging, Llc
DBA Doing business as
Authorized official Pierce, Jean
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043364920 NPPES
Massachusetts Other 831660 TUFTS
Massachusetts MEDICAID 9750240 TUFTS
Massachusetts Other M18932 TUFTS

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