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A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI # | 1750339065 |
| LBN Legal business name | MAINE MOLECULAR IMAGING LLC |
| Authorized official | BRIAN DRAZBA - (SENIOR V.P. & CHIEF ACCOUNTING OFCR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/05/2006 |
| Last updated | 10/05/2007 - About 19 years ago |
| Identifiers | n/a |
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| LACY RANDALL 39 WINCHELL LN ACTON, ME |
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| TOWN OF ACTON 1725 ROUTE 109 ACTON, ME |
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MAINE MOLECULAR IMAGING LLC