Organization
PALM BEACH REGIONAL MRI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN J FARRELL (OWNER/CEO)
(207) 706-6810
Entity
Organization
Contact information
Practice address
701 NORTHLAKE BLVD, STE 106, NORTH PALM BEACH, FL 33408-5215
(561) 882-0674
(561) 882-4141
Mailing address
173 MAIN ST, THOMASTON, ME 04861-3807
(561) 882-0674
(561) 882-4141
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40820
NEIGHBORHOOD HEALTH ID #
FL
05
—
510017800
—
FL
01
—
72435
BCBS ID NUMBER
FL
Enumeration date
06/21/2005
Last updated
11/22/2018
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