Dr FRED J LAINE MNT is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1980.
APPOMATTOX IMAGING LLC
930 S AVE
SUITE 1
COLONIAL HEIGHTS
VA
238343620
Tel: 8045242340
| Npi | 1508811670 |
| Pac Id | 9133100878 |
| Professional Enrollment Id | I20040527000854 |
| Last Name | LAINE |
| First Name | FRED |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MNT |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | APPOMATTOX IMAGING LLC |
| Group Practice Pac Id | 2567546575 |
| Number Of Group Practice Members | 43 |
| Line 1 Street Address | 930 S AVE |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 238343620 |
| Phone Number | 8045242340 |
| Hospital Affiliation Ccn 1 | 490112 |
| Hospital Affiliation Lbn 1 | CJW MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 490141 |
| Hospital Affiliation Lbn 2 | SPOTSYLVANIA REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 490118 |
| Hospital Affiliation Lbn 3 | HENRICO DOCTORS' HOSPITAL |
| Hospital Affiliation Ccn 4 | 490020 |
| Hospital Affiliation Lbn 4 | JOHN RANDOLPH MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 490067 |
| Hospital Affiliation Lbn 5 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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