Organization
MOBILE MEDICAL IMAGING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN M NOBLE RDMS (VICE PRESIDENT/TREASURER)
(207) 774-0720
Entity
Organization
Contact information
Practice address
1601 CONGRESS STREET SUITE 3, PORTLAND, ME 04102-2141
(207) 774-0885
(207) 774-7694
Mailing address
1601 CONGRESS STREET SUITE 3, PORTLAND, ME 04102-2141
(207) 774-0885
(207) 774-7694
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025008
BLUE CROSS/BLUE SHIELD
ME
05
—
115380000
—
ME
01
—
623279
HARVARD PILGRIM
ME
Enumeration date
09/11/2006
Last updated
11/10/2008
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