Organization
AFFILIATED PET SYSTEMS LLC
Active
Parent organization
MOLECULAR IMAGING TECHNOLOGIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOLECULAR IMAGING TECHNOLOGIES
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization
Contact information
Practice address
1400 FOREST GLEN RD STE 430, SILVER SPRING, MD 20910-1464
(301) 681-9100
(301) 681-9141
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482003700
—
MD
01
—
F914
BCBS
—
Enumeration date
07/26/2006
Last updated
07/24/2023
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