Organization
ADVANCED MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN F ELZIN B.S., RDMS, RT (R) (MANAGING MEMBER)
(203) 878-6768
Entity
Organization
Contact information
Practice address
75 NEW HAVEN AVE, MILFORD, CT 06460-4854
(203) 878-6768
(203) 878-6087
Mailing address
PO BOX 416, MILFORD, CT 06460-0416
(203) 878-6768
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
81408
CT
2471B0102X
Bone Densitometry Radiologic Technologist
003259
CT
247200000X
Other Technician
003259
CT
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
003259
CT
Other
Enumeration date
07/10/2006
Last updated
08/31/2016
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