Whalio Doctors

NPI 1750339065

Maine Molecular Imaging LLC

Organisation Physiological Laboratory Waterville, ME

Practice location

Address
149 North St, Waterville, ME 04901-4974
Phone
(800) 734-4132
Fax
(800) 283-2377
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

Registry record

NPI
1750339065
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.