Individual
BRIAN J BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS RT(R)(MR), RDMS
Contact information
Practice address
295 VARNUM AVE, LGH MEDICAL GROUP, INC ATTN: BUSINESS OFFICE, LOWELL, MA 01854-2134
(978) 937-6000
Mailing address
PO BOX 1819, LGH MEDICAL GROUP, INC., LOWELL, MA 01853-1819
(978) 937-6000
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272918
THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
—
01
—
37312
ARDMS
—
Enumeration date
10/20/2010
Last updated
10/20/2010
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