Organization
INSIGHT-PREMIER HEALTH LLC
Active
Other names
Open MRI of Brunswick
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
11 MEDICAL CENTER DR, STE 1, BRUNSWICK, ME 04011-2690
(207) 721-1110
(207) 721-3082
Mailing address
PO BOX 414025, BOSTON, MA 02241-4025
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133960003
—
ME
01
—
470001124
RAILROAD MEDICARE
ME
Enumeration date
04/24/2006
Last updated
11/14/2007
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