Maine Molecular Imaging LLC

NPI #1285682591 in Brunswick, Maine

Provider Information

NPI Number: 1285682591
Entity Type: Organization
Organization Name: Maine Molecular Imaging LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: May 5, 2006
Last Updated: Aug 26, 2019

Practice Location

Address: 123 MEDICAL CENTER DR
City: Brunswick
State: Maine
ZIP Code: 04011-2652
Phone: (800) 734-4132

Authorized Official

Name: RAMONA L AHERN
Title: SPECIAL ASSISTANT SECRETARY
Phone: (952) 738-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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