Provider Demographics
NPI:1447404462
Name:MOBILE MEDICAL IMAGING SERVICES INC.
Entity Type:Organization
Organization Name:MOBILE MEDICAL IMAGING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:207-774-0720
Mailing Address - Street 1:1601 CONGRESS ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2102
Mailing Address - Country:US
Mailing Address - Phone:207-774-0885
Mailing Address - Fax:207-774-7694
Practice Address - Street 1:1601 CONGRESS ST
Practice Address - Street 2:SUITE 3
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2102
Practice Address - Country:US
Practice Address - Phone:207-774-0885
Practice Address - Fax:207-774-7694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME014369Medicare PIN