Provider Demographics
NPI:1699948125
Name:IMAGING ASSOCIATES, INC.
Entity type:Organization
Organization Name:IMAGING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-767-5111
Mailing Address - Street 1:270 CENTRE ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1073
Mailing Address - Country:US
Mailing Address - Phone:781-767-5111
Mailing Address - Fax:781-767-9355
Practice Address - Street 1:270 CENTRE ST
Practice Address - Street 2:UNIT B
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1073
Practice Address - Country:US
Practice Address - Phone:781-767-5111
Practice Address - Fax:781-767-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory