institution
Maine Coast Mobile Med, Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Bangor, Maine
NPI 1710100839

Maine Coast Mobile Med, Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Ellsworth, ME. Maine Coast Mobile Med, Llc practices in Bangor, ME. The NPI Number for Maine Coast Mobile Med, Llc is 1710100839 and holds a License No. RT3575 (Maine).

The current practice location address for Maine Coast Mobile Med, Llc is 1576 Hammond St Ste C, Bangor, ME and can be reached out via phone at 207-404-4894 and via fax at 207-907-4911.

Location: 1576 Hammond St Ste C, Bangor, ME, 04605-1393
institution
Provider Profile Details
NPI Number
1710100839
Provider Name
Maine Coast Mobile Med, Llc
Credential
Provider Entity Type
Organization
Address
1576 Hammond St Ste C, Bangor, ME, 04605-1393
Phone Number
207-404-4894
Fax Number
207-907-4911
Provider Enumeration Date
04/10/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
684929 01 ME TUFTS
132120000 05 ME
MN3768 01 ME HARVARD PILGRIM
2328397 01 ME AETNA
M161680 01 ME CIGNA
630001645 01 ME RAILROAD MEDICARE
040509 01 ME BCBS
institution
Provider Business Practice Location Address Details
Address
1576 Hammond St Ste C
City
State
Zip
04401-5751
Phone Number
207-404-4894
Fax Number
207-907-4911
person
Provider Business Mailing Address Details
Address
1576 Hammond St Ste C
City
State
Zip
04401-5751
Phone Number
207-404-4894
Fax Number
207-907-4911
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
RT3575 (Maine)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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