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Organization
DERRY IMAGING CENTER LLC
Active
Organization
DERRY IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FARMAKIS (OFFICE MANAGER)
(603) 537-3028
Entity
Organization
Contact information
Practice address
6 TSIENNETO RD, SUITE 100L, DERRY, NH 03038-1584
(603) 537-1300
(603) 537-1324
Mailing address
6 TSIENNETO RD, SUITE 100L, DERRY, NH 03038-1584
(603) 537-1300
(603) 537-1324
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7128517
AETNA
NH
01
—
76Y007482NH01
ANTHEM BCBS
NH
01
—
9938751
CIGNA
NH
01
—
NH1602
HARVARD
NH
Enumeration date
02/06/2007
Last updated
10/03/2024
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