Maine Molecular Imaging LLC

NPI #1750339065 in Waterville, Maine

Provider Information

NPI Number
1750339065
Entity Type
Organization
Organization Name
Maine Molecular Imaging LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
May 5, 2006
Last Updated
Oct 5, 2007

Practice Location

Address
149 NORTH ST
State
Maine
ZIP Code
04901-4974
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
Physiological Laboratory

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