OrganizationBedford Medical Imaging Center, LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address703 Riverway Pl, Bedford, NH 03110-6768(603) 668-7096PECOS EnrollmentBased on the most recent information from CMS, provider Bedford Medical Imaging Center, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:00 AM.Profile DetailsProvider ID1669438461Provider TypeOrganizationFull NameBedford Medical Imaging Center, LlcSubpartNoEnumeration Date4/21/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address703 Riverway Pl, Bedford, NH 03110-6768Phone(603) 668-7096Fax(603) 669-6944Mailing LocationMailing Address703 Riverway Pl, Bedford, NH 03110-6768Phone(603) 668-7096Fax(603) 669-6944Authorized OfficialNameLuedke, Mark D (President)Phone(603) 668-7096Provider TaxonomiesCodeDescriptionLicenseCode261QR0200XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID30009767DescriptionMedicaidIssuerUnlistedNew Hampshire