National Provider Identifier Database

MAINE COAST MOBILE MED LLC
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

MAINE COAST MOBILE MED. LLC
1576 HAMMOND ST STE C
BANGOR, ME04401-5751
Phone: 207-460-8882
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for MAINE COAST MOBILE MED. LLC

NPI Number 1184955692
Legal business name
LBN
MAINE COAST MOBILE MED. LLC
Authorized official PHILIP FORST - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/22/2010
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: RT3575
  • ME Medicaid: 132120000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MAINE COAST MOBILE MED. LLC

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