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MMDS OF BOSTON LLC
NPI 1245440726
Radiologic Technologist in Newton, MA

Active since May 23, 2007CLIA 22D2278277 · Waiver
48 SILVER LAKE AVE., NEWTON, MA 02458(617) 244-9729 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mmds Of Boston Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMDS OF BOSTON LLC (NPI 1245440726) is a healthcare organization registered as a radiologic technologist in Newton, Massachusetts and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Richard Scott Grinley, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245440726
Entity TypeOrganization
Primary Taxonomy247100000X
Legal Business NameMMDS OF BOSTON LLC
Location Address48 SILVER LAKE AVE.Newton, MA 02458-1111
Mailing Address48 Silver Lake Ave.Newton, MA 02458-1111 · (617) 244-9729
Phone(617) 244-9729
Organization SubpartNo
Authorized OfficialRichard Scott GrinleyPresident, Ceo · (617) 244-9729
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 9, 2014
✔ NPI 1245440726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X
48 SILVER LAKE AVE., Newton, MA 02458
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Other Identifiers 1

Medicare ID-Type Unspecified22X0009830MA · Portable X-ray

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2278277

Mmds Of Boston, LLC · Newton, MA
Active · expires Mar 13, 2027
CLIA Number22D2278277
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorJustin H. Pham
Laboratory Phone(617) 244-9729
Laboratory LocationMmds Of Boston, LLC48 Silver Lake Ave, Newton, MA 02458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mmds Of Boston LLC's NPI number?

The NPI number for Mmds Of Boston LLC is 1245440726. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Mmds Of Boston LLC located?

Mmds Of Boston LLC is located at 48 Silver Lake Ave., Newton, MA 02458. The listed phone number is (617) 244-9729.

What is Mmds Of Boston LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Does Mmds Of Boston LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2278277) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mmds Of Boston LLC was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.