| NPI | 1922037605 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BETH AUSTIN Authorized Official 207-482-7800  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging | 
| 2085N0700X | |
| 2085N0904X | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-07-03 | 
| Last Update Date | 2023-07-24 |