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1679890297
MOLECULAR IMAGING ALLIANCE OF MILWAUKEE, LLC
LOUISVILLE, KY
NPI
1679890297
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Entity Type
Organization
Authorized Contact
MICHELLE DOUGLAS
Contract Manager
502-403-1401
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2010-04-21
Last Update Date
2011-09-09
Business Address
MOLECULAR IMAGING ALLIANCE OF MILWAUKEE, LLC
9200 LEESGATE RD STE 100
LOUISVILLE, KY 40222-5173
Phone number: 502-403-1401
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Mailing Address
MOLECULAR IMAGING ALLIANCE OF MILWAUKEE, LLC
11226 W LAPHAM ST
WEST ALLIS, WI 53214-3806
Phone number: 414-395-1941
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