| NPI | 1235567843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T LAVERDIERE Authorized Official 207-621-9395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2025-09-04 |