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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 Number | 1710100839 |
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| LBN Legal business name | MAINE COAST MOBILE MED, LLC | ||||||||||||||||||||||||||||||||
| Authorized official | PHILLIP FORST - (OWNER) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 04/10/2007 | ||||||||||||||||||||||||||||||||
| Last updated | 12/24/2019 - About 6 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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| LACY RANDALL 39 WINCHELL LN ACTON, ME |
| COMPASS COMMUNITY CARE 765 COUNTY RD ACTON, ME |
| TOWN OF ACTON 1725 ROUTE 109 ACTON, ME |
| GARRETT L RONCO, LMT 993 LEBANON RD ACTON, ME |
| ELLEN M TYLER, PT 70 BATES RD ABBOT, ME |
MAINE COAST MOBILE MED, LLC