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Evergreen Valley Medical, Pc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wrentham, Massachusetts
NPI 1225171630

Evergreen Valley Medical, Pc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Wrentham, MA. Evergreen Valley Medical, Pc practices in Wrentham, MA. The NPI Number for Evergreen Valley Medical, Pc is 1225171630 and holds a License No. (Massachusetts).

The current practice location address for Evergreen Valley Medical, Pc is 170 Tilting Rock Rd, Wrentham, MA and can be reached out via phone at 508-930-7659.

Location: 170 Tilting Rock Rd, Wrentham, MA, 02093-0511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225171630
Provider Name
Evergreen Valley Medical, Pc
Credential
Provider Entity Type
Organization
Address
170 Tilting Rock Rd, Wrentham, MA, 02093-0511
Phone Number
508-930-7659
Fax Number
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
170 Tilting Rock Rd
City
Wrentham
State
Massachusetts
Zip
02093-1358
Phone Number
508-930-7659
Fax Number
person
Provider Business Mailing Address Details
Address
170 Tilting Rock Rd
City
Wrentham
State
Massachusetts
Zip
02093-1358
Phone Number
508-930-7659
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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