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Organization
INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC
Active
Organization
INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC
Active
Other names
Inmed Diagnostic Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization
Contact information
Practice address
2 TECHNOLOGY PARK DR, SUITE B, BOURNE, MA 02532-8341
(508) 759-8191
(508) 759-8178
Mailing address
2400 E COMMERCIAL BLVD, SUITE 826, FT LAUDERDALE, FL 33308-4054
(954) 510-3700
(954) 510-2649
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
236521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038869
BCBS
MA
05
—
1529561
—
MA
01
—
236521
FDA #
MA
Enumeration date
03/26/2007
Last updated
07/24/2023
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