1821000605 NPI number — SALEM RADIOLOGY LLP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821000605 NPI number — SALEM RADIOLOGY LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SALEM RADIOLOGY LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821000605
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23 STILES RD
Provider Second Line Business Mailing Address:
STE 102
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03079
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-893-4352
Provider Business Mailing Address Fax Number:
603-894-4522

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 STILES RD
Provider Second Line Business Practice Location Address:
STE 102
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-893-4352
Provider Business Practice Location Address Fax Number:
603-894-4522
Provider Enumeration Date:
08/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HANNON
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
C
Authorized Official Title or Position:
SENIOR PARTNER
Authorized Official Telephone Number:
603-893-4352

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: M12286 . This is a "BS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 30814372 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 81304113 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com