# MAMMOLINK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184278483
- **Authorized official:** RYAN JOSEPH POLSELLI MD (OWNER)
- **Authorized official phone:** (912) 667-8654

## Contact information

- **Practice address:** 3982 WOODLAND RETREAT BLVD, NEW PORT RICHEY, FL 34655-4593
- **Practice address phone:** (844) 546-5871
- **Practice address fax:** (844) 546-5871
- **Mailing address:** 3982 WOODLAND RETREAT BLVD, NEW PORT RICHEY, FL 34655-4593
- **Mailing address phone:** (844) 546-5871
- **Mailing address fax:** (844) 546-5871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QR0207X | Mobile Mammography Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2019
- **Last updated:** 09/26/2022