New England Mobile X-Ray
Clinic/Center, Radiology, Mobile in Portland, ME. Organization (NPI-2).
NPI number1720166697
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720166697
- Entity type
- Organization (NPI-2)
- Legal business name
- New England Mobile X-Ray
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0208X | Clinic/Center, Radiology, Mobile | – | – | Yes |
Practice location
891 Brighton AveSuite 3
Portland, ME 04102-1056
Phone 617-341-9729
Mailing address
891 Brighton AveSuite 3
Portland, ME 04102-1056
Phone 617-341-9729
Authorized official
Allan E Smith
Cfo
6173419729
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