Maine Molecular Imaging LLC

NPI #1578667994 in Sanford, Maine

Provider Information

NPI Number: 1578667994
Entity Type: Organization
Organization Name: Maine Molecular Imaging LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: Sep 8, 2006
Last Updated: Oct 5, 2007

Practice Location

Address: 27 INDUSTRIAL AVE
City: Sanford
State: Maine
ZIP Code: 04073-5820
Phone: (800) 734-4132

Authorized Official

Name: MR. BRIAN G DRAZBA
Title: SENIOR VP & CHIEF ACCOUNTING OFCR
Phone: 94928260000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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