National Provider Identifier Database

NORTHWESTERN RI IMAGING CENTER LLC
Radiology


Contact Information

NORTHWESTERN RI IMAGING CENTER, LLC
1526 ATWOOD AVE
JOHNSTON, RI02919-3289
Phone: 401-331-0900
Fax: 401-455-0909
Website:
Specialty Taxonomy Code
* Radiology 261QR0200X
Diagnostic Radiology 2085R0202X
Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for NORTHWESTERN RI IMAGING CENTER, LLC

NPI Number 1881647238
Legal business name
LBN
NORTHWESTERN RI IMAGING CENTER, LLC
Authorized official ROBERT SANTAMARIA - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 05/18/2006
Last updated 03/31/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • RI License #: ACF01564
  • RI Medicaid: NW46602

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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