Maine Molecular Imaging LLC

NPI #1316995624 in Scarborough, Maine

Provider Information

NPI Number: 1316995624
Entity Type: Organization
Organization Name: Maine Molecular Imaging LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: May 5, 2006
Last Updated: Dec 26, 2007

Practice Location

Address: 100 CAMPUS DR
City: Scarborough
State: Maine
ZIP Code: 04074-9692
Phone: (800) 734-4132

Authorized Official

Name: BRIAN G DRAZBA
Title: SENIOR V.P. & CHIEF ACCOUNTING OFCR
Phone: (949) 282-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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