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Organization

RHODE ISLAND PET SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONI COOPER (DIRECTOR OF CREDENTIALING)
(754) 206-6198
Entity
Organization

Contact information

Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 312-2454
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
(800) 730-0050

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
ACF01577
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00240857
RR MEDICARE
Enumeration date
05/19/2006
Last updated
07/24/2023
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