COOLIDGE CORNER IMAGING, LLC
NPI 1043364920
Radiology - Diagnostic Radiology in Brookline, MA

NPI Status: Active since January 22, 2007

Contact Information

356 HARVARD ST
BROOKLINE, MA
ZIP 02446
Phone: (617) 383-6585
Fax: (617) 383-6592

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  • Organization
  • Radiology
  • Diagnostic Radiology

About COOLIDGE CORNER IMAGING, LLC

This page provides the complete NPI Profile along with additional information for Coolidge Corner Imaging, Llc, a provider established in Brookline, Massachusetts operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1043364920 assigned on January 2007. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jean Pierce (Office Manager)

NPI
1043364920
Provider Name
COOLIDGE CORNER IMAGING, LLC
Entity Type
Organization
Location Address
356 HARVARD ST BROOKLINE, MA 02446
Location Phone
(617) 383-6585
Location Fax
(617) 383-6592
Mailing Address
PO BOX 381289 31 SMITH PLACE CAMBRIDGE, MA 02238
Mailing Phone
(617) 661-1949
Mailing Fax
(617) 383-6592
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2007
Last Update Date
12-07-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEAN PIERCE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(617) 661-1949

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
M18932OTHER (01)MABLUE CROSS BLUE SHIELD
831660OTHER (01)MATUFTS
9750240MEDICAID (05)MA 
M21550MEDICARE PIN (08)MA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043364920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208366894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 6 + 6 + 8 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1043364920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700191889COOLIDGE CORNER IMAGING
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))356 HARVARD ST
BROOKLINE, MA 02446
(617) 383-6585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043364920, enumerated in the NPI registry as an "organization" on January 22, 2007

The provider is located at 356 Harvard St Brookline, Ma 02446 and the phone number is (617) 383-6585

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.