Organization
AROOSTOOK MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LONGMORE-GRUND (EXEC VP & CFO)
(800) 544-3215
Entity
Organization
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(800) 646-6121
(888) 603-7003
Mailing address
100 BAYVIEW CIRCLE, SUITE 400, NEWPORT BEACH, CA 92660-2984
(949) 242-5592
(602) 773-3622
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
1076154
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172770000
—
ME
Enumeration date
08/02/2005
Last updated
09/30/2016
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