Organization · NPI-2

Advanced Mobile Imaging, LLC

Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · Milford, CT

NPI number1396779237
StatusActive
Last updated in NPPESAug 31, 2016

Details

NPI
1396779237
Entity type
Organization (NPI-2)
Legal business name
Advanced Mobile Imaging, LLC
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
Aug 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier003259CTYes
2085U0001X Radiology, Diagnostic Ultrasound81408CT
2471B0102X Radiologic Technologist, Bone Densitometry003259CT
247200000X Technician, Other003259CT

Practice location

75 New Haven Ave
Milford, CT 06460-4854

Phone 203-878-6768 · Fax 203-878-6087

Mailing address

Po Box 416
Milford, CT 06460-0416

Phone 203-878-6768

Authorized official

Brian F Elzin
Managing Member
2038786768

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