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Organization
NEW ENGLAND MOLECULAR IMAGING, LLC
Active
Organization
NEW ENGLAND MOLECULAR IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VP)
(904) 300-2777
Entity
Organization
Contact information
Practice address
6 TSIENNETO RD, DERRY, NH 03038
(603) 537-1380
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
01601
NH
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3962939
AETNA
NH
01
—
694993
TUFTS/SECURE HORIZONS
NH
01
—
800942
HARVARD PILGRIM HLTH CARE
NH
01
—
P00302999
RR MEDICARE
NH
Enumeration date
06/25/2006
Last updated
10/31/2022
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