National Provider Identifier Database

BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC.
840 HARRISON AVE
BOSTON, MA02118-2905
Phone: 617-638-6610
Fax: 617-638-6616
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Neuroimaging 2085D0003X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Radiology 2085N0904X
Pediatric Radiology 2085P0229X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC.

NPI Number 1134166945
Legal business name
LBN
BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC.
Authorized official JORGE SOTO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/01/2006
Last updated 12/20/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 110072258E
  • NH Medicaid: 3080695

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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