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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Magnetic Resonance Imaging (MRI) |
207RM1200X | 11 | Physician/Internal Medicine |
| NPI Number | 1235204322 |
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| LBN Legal business name | IMAGING CENTER OF SALEM, INC | ||||||||
| Authorized official | LU BOGOLIN - (BILLING MNGR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 11/22/2006 | ||||||||
| Last updated | 01/26/2009 - About 17 years ago | ||||||||
| Identifiers |
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IMAGING CENTER OF SALEM, INC
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IMAGING CENTER OF SALEM, INC