National Provider Identifier Database

MMDS OF BOSTON LLC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

MMDS OF BOSTON LLC
48 SILVER LAKE AVE.
NEWTON, MA02458-1111
Phone: 617-244-9729
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X
Radiography Radiologic Technologist 2471C3402X

* Indicates primary specialty

NPI Profile & details for MMDS OF BOSTON LLC

NPI Number 1245440726
Legal business name
LBN
MMDS OF BOSTON LLC
Authorized official RICHARD GRINLEY - (PRESIDENT, CEO)
Entity Organization
Organization subpart No
Enumeration date 05/23/2007
Last updated 05/09/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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