20D2178310 CLIA NUMBER - RAYUS RADIOLOGY MARSHWOOD

Laboratory Demographics

CLIA Number: 20D2178310

Facility Name: RAYUS RADIOLOGY MARSHWOOD

Facility Address:
33 GORHAM ROAD
SCARBOROUGH, ME
ZIP 04074
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Facility Phone Number: 207 883-3603

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1710942875

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	20D2178310
LAB Type	Independent
Facility Name	RAYUS RADIOLOGY MARSHWOOD
Street	33 GORHAM ROAD
City	SCARBOROUGH
State	ME
ZIP	04074
Phone	207 883-3603
CertificateType	4
CertificateEffectiveDate	1/30/2024
CertificateExpirationDate	1/29/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024