| NPI | 1013522994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA LEIGH GAGNON Director Of Revenue Operations 603-742-5252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| 2471B0102X Radiologic Technologist, Bone Densitometry | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |