# INDIGO DIAGNOSTIC IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346771391
- **Authorized official:** TAMARA L THOMAS RDMS, RVT (DIRECTOR/CHIEF SONOGRAPHER)
- **Authorized official phone:** (844) 943-6243

## Contact information

- **Practice address:** 102 MAIN ST STE A, ELLSWORTH, ME 04605-1919
- **Practice address phone:** (844) 934-6243
- **Mailing address:** 102 MAIN ST STE A, ELLSWORTH, ME 04605-1919
- **Mailing address phone:** (844) 934-6243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2017
- **Last updated:** 03/22/2017