Organization
MEMORIAL X-RAY SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J DESENA (ASSISTANT PATIENT ACCOUNTS MANAGER)
(401) 729-2836
Entity
Organization
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2836
(401) 729-2721
Mailing address
PO BOX 1908, PAWTUCKET, RI 02862-1908
(401) 729-2836
(401) 729-2721
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HOS00128
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009000660
—
RI
05
—
0009742557
—
MA
Enumeration date
08/20/2006
Last updated
11/30/2007
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