Organization
INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC
Active
Other names
Inmed Diagnostic Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization
Contact information
Practice address
2 TECHNOLOGY PARK DR, SUITE B, BOURNE, MA 02532-8341
(508) 759-8191
(508) 759-8178
Mailing address
2400 E COMMERCIAL BLVD, SUITE 826, FT LAUDERDALE, FL 33308-4054
(954) 510-3700
(954) 510-2649
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
236521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038869
BCBS
MA
05
—
1529561
—
MA
01
—
236521
FDA #
MA
Enumeration date
03/26/2007
Last updated
07/24/2023
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