Maine Molecular Imaging LLC

NPI #1942258264 in Bangor, Maine

Provider Information

NPI Number
1942258264
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
360 BROADWAY
City
Bangor
State
Maine
ZIP Code
04401-3979
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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