Organization Active NPI

Mobile Medical Imaging Services Inc

  • Radiology Clinic/Center
  • Portland, ME
National Provider Identifier
1639273709
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MOBILE MEDICAL IMAGING SERVICES INC
Practice address
1601 Congress Street Suite 3
Portland, ME 04102-2141
Phone
(207) 774-0885
Fax
(207) 774-7694
NPI assigned
Sep 11, 2006
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen M Noble, RDMS
Title
Vice President/Treasurer
Phone
(207) 774-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1601 Congress Street Suite 3
Portland, ME 04102-2141

Mailing address

1601 Congress Street Suite 3
Portland, ME 04102-2141
Phone (207) 774-0885

Other identifiers 3

IdentifierTypeStateIssuer
623279OtherMEHARVARD PILGRIM
025008OtherMEBLUE CROSS/BLUE SHIELD
115380000MedicaidME

National Provider Directory

National Provider Directory

Locations

1601 Congress St
Ste 3
Portland, ME 04102
Phone (207) 774-0720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1639273709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CONGRESS STREET SUITE 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022141",
            "telephone_number": "207-774-0885",
            "fax_number": "207-774-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CONGRESS STREET SUITE 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022141",
            "telephone_number": "207-774-0885",
            "fax_number": "207-774-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL IMAGING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "207-774-0720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "623279",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "025008",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115380000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.