NPI 1316995632

Maine Molecular Imaging LLC

Organisation Physiological Laboratory Skowhegan, ME

Practice location

Address: 46 Fairview Ave, Skowhegan, ME 04976-1481
Phone: (800) 734-4132
Fax: (800) 273-2377
Mailing address: PO Box 414025, Boston, MA 02241-4025

Authorised official

Name: Brian G Drazba
Title: Senior V.P. & Chief Accounting Ofcr
Phone: (949) 282-6000

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Maine →

Registry record

NPI: 1316995632
Entity type: Organization
NPI issued: 5 May 2006
Record last updated: 5 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.