Provider Demographics
NPI:1851552905
Name:RADIOLOGY & IMAGING, INC.
Entity type:Organization
Organization Name:RADIOLOGY & IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:VASILIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURLOUKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-495-1124
Mailing Address - Street 1:1350 MAIN ST
Mailing Address - Street 2:SUITE 1007
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1664
Mailing Address - Country:US
Mailing Address - Phone:413-495-1129
Mailing Address - Fax:413-827-7407
Practice Address - Street 1:1350 MAIN ST
Practice Address - Street 2:SUITE 1007
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1664
Practice Address - Country:US
Practice Address - Phone:413-495-1129
Practice Address - Fax:413-827-7407
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RADIOLOGY & IMAGING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-21
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1538543Medicaid
MA1538543Medicaid