Organization
INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC
Active
Other names
Inmed Diagnostic Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LONGTON (COO)
(954) 510-3704
Entity
Organization
Contact information
Practice address
434 ROUTE 134, UNIT C-2, SOUTH DENNIS, MA 02660-3433
(508) 398-3617
(508) 398-3763
Mailing address
2400 E COMMERCIAL BLVD, SUITE 826, FT LAUDERDALE, FL 33308-4030
(954) 510-3700
(954) 510-2649
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
236414
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529650
—
MA
Enumeration date
03/26/2007
Last updated
10/31/2014
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