# MOLECULAR NEUROIMAGING, LLC

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

## Provider details

- **NPI number:** 1841522281
- **Authorized official:** JACK MARIOTTI (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (203) 431-4351

## Contact information

- **Practice address:** 60 TEMPLE ST, \#8A, NEW HAVEN, CT 06510-2716
- **Practice address phone:** (203) 401-4300
- **Practice address fax:** (203) 401-4304
- **Mailing address:** 60 TEMPLE ST, \#8A, NEW HAVEN, CT 06510-2716
- **Mailing address phone:** (203) 401-4300
- **Mailing address fax:** (203) 401-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 02/10/2010