# LRGHEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LRGHEALTHCARE
- **Other names:** LRGHealthcare Mobile Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770976896
- **Legal business name:** LRGHEALTHCARE
- **Authorized official:** KEVIN W DONOVAN (PRESIDENT/ CEO)
- **Authorized official phone:** (603) 524-3211

## Contact information

- **Practice address:** 80 HIGHLAND ST, LACONIA, NH 03246-3235
- **Practice address phone:** (603) 524-3211
- **Mailing address:** PO BOX 678, LACONIA, NH 03247-0678
- **Mailing address phone:** (603) 524-3211
- **Mailing address fax:** (603) 527-7164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2015
- **Last updated:** 06/05/2017