NPI 1710100839

Maine Coast Mobile Med, LLC

Organisation Radiologic Technologist Bangor, ME

Practice location

Address: 1576 Hammond St STE C, Bangor, ME 04401-5751
Phone: (207) 404-4894
Fax: (207) 907-4911
Mailing address: PO Box 1393, Ellsworth, ME 04605-1393

Authorised official

Name: Phillip Forst
Title: Owner
Phone: (207) 497-2996

Registered specialties (2)

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence RT3575 (ME)

Other Radiologic Technologist providers in Maine →

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Suppliers Taxonomy 335V00000X

Other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in Maine →

Registry record

NPI: 1710100839
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 24 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.