Organization
INMED DIAGNOSTIC SERVICES OF MASSACHUSETTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LONGTON (COO)
(954) 510-3704
Entity
Organization
Contact information
Practice address
3 WOODLAND RD, SUITE 217, STONEHAM, MA 02180-1702
(781) 662-4300
(781) 662-4980
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
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1541510
—
MA
Enumeration date
04/14/2006
Last updated
10/31/2014
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