Providence Diagnostic Imaging, Inc.
LBN: Providence Diagnostic Imaging, Inc.
Providence Diagnostic Imaging, Inc. is an health care organization with primary practice located at 271 Carew St , Springfield MA 01104-2377. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Providence Diagnostic Imaging, Inc. can be contacted via phone (413) 748-9200, or through Blackman, Gregory E. via phone (413) 748-9200.
Contact Information
Primary practice address
271 Carew St
Springfield MA 01104-2377
Phone: (413) 748-9200
Fax:
Website:
Authorized official contact:
Name: Blackman, Gregory E. Doctor of Medicine (MD)
Phone: (413) 748-9200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ||
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X |
Profile Details
| NPI number | 1609978170 |
|---|---|
| LBN Legal business name | Providence Diagnostic Imaging, Inc. |
| DBA Doing business as | |
| Authorized official | Blackman, Gregory E. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Jul 1st, 2015 - about 9 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 | 1609978170 | NPPES |
| Other | 102940700 | US DEPARTMENT OF LABOR | |
| Other | 98133101 | US DEPARTMENT OF LABOR | |
| Other | 000000025268 | US DEPARTMENT OF LABOR | |
| Other | 755228 | US DEPARTMENT OF LABOR | |
| MEDICAID | 003126358 | US DEPARTMENT OF LABOR | |
| Other | 1601748 | US DEPARTMENT OF LABOR | |
| Other | 774327 | US DEPARTMENT OF LABOR | |
| MEDICAID | 9776559 | US DEPARTMENT OF LABOR | |
| Other | CA7920 | US DEPARTMENT OF LABOR | |
| Other | 783230 | US DEPARTMENT OF LABOR | |
| Other | M16237 | US DEPARTMENT OF LABOR |
Popular Providers
-
Arlington Medical Imaging Llc
3025 Matlock Rd Ste 100, Arlington TX 76015-2902 -
Gainesville Radiology Group West, Llc
4960 W Newberry Rd Ste 280, Gainesville FL 32607-2201 -
Baystate Medical Practices, Inc
759 Chestnut St , Springfield MA 01199-1001 -
Hampden County Physician Associates, Llc
95 Liberty St , Springfield MA 01103-1011 -
Radiology & Imaging, Inc.
759 Chestnut St Radiology Department, Springfield MA 01107-1619 -
Chelmsford Mri, P.C.
3640 Main St Suite 101, Springfield MA 01107-1145 -
Nebraska Health Imaging Llc
7819 Dodge St , Omaha NE 68114-3411 -
Baystate Medical Practices, Inc.
759 Chestnut St , Springfield MA 01199-1001