Maine Coast Mobile Med, LLC

NPI #1710100839 in Bangor, Maine

Provider Information

NPI Number: 1710100839
Entity Type: Organization
Organization Name: Maine Coast Mobile Med, LLC
Primary Specialty: Radiologic Technologist
Enumeration Date: Apr 10, 2007
Last Updated: Dec 24, 2019

Practice Location

Address: 1576 HAMMOND ST STE C
City: Bangor
State: Maine
ZIP Code: 04401-5751
Phone: (207) 404-4894

Authorized Official

Name: PHILLIP FORST
Title: OWNER
Phone: (207) 497-2996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X
Radiologic Technologist	247100000X	Primary

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David Lefler, R.T.(R)(ARRT)	Radiologic Technologist	Waterford	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Maine Coast Mobile Med. LLC	Radiologic Technologist	Bangor	AI Deep Dive
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