Organization
LRGHEALTHCARE
Active
Parent organization
LRGHEALTHCARE
Other names
LRGHealthcare Mobile Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
LRGHEALTHCARE
Authorized official
KEVIN W DONOVAN (PRESIDENT/ CEO)
(603) 524-3211
Entity
Organization
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
PO BOX 678, LACONIA, NH 03247-0678
(603) 524-3211
(603) 527-7164
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
06/05/2017
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