Organization Name: | INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC |
NPI Number: | 1700903432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH LONGTON (COO) |
Mailing Address: | 2 Technology Park Dr Suite B Bourne |
State: | MA US |
Postal Code: | 025328341 |
Phone Number: | 5087598191 |
Fax Number: | 5087598178 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 10/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0206X |
License Number: | 236521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mammography |
Taxonomy Definition: |