National Provider Identifier Database

CONCORD IMAGING CENTER
Radiology


Contact Information

CONCORD IMAGING CENTER
2 1/2 BEACON ST
CONCORD, NH03301-4447
Phone: 603-228-1521
Fax: 603-225-2510
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Diagnostic Radiology 2085R0202X
Magnetic Resonance Imaging (MRI) 261QM1200X
Radiology, Mammography 261QR0206X

* Indicates primary specialty

NPI Profile & details for CONCORD IMAGING CENTER

NPI Number 1700859451
Legal business name
LBN
CONCORD IMAGING CENTER
Authorized official TIMOTHY MCCORMACK - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/10/2006
Last updated 07/31/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NH Medicaid: 30814375
  • NH Other: CONC300975 ANTHEM BCBS OF NH
  • NH Other: CB4403 RAILROAD MEDICARE

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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