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NPI Profile for MAINE COAST MOBILE MED LLC in BANGOR, ME.
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiologic Technologist |
247100000X | |||
Portable Xray Supplier |
335V00000X | 63 | Portable X-Ray Supplier |
| NPI # | 1710100839 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/10/2007 | |
| Last updated | 12/24/2019 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAINE COAST MOBILE MED, LLC
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MAINE COAST MOBILE MED, LLC