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Active NPI 1134088719 Organization (Entity Type 2)

Dynamic Imaging Llc

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier • South Berwick, ME

About Dynamic Imaging Llc NPI 1134088719 Summary

Dynamic Imaging Llc is a verified healthcare organization specializing in Portable X-ray and/or Other Portable Diagnostic Imaging Supplier operating in South Berwick, ME. Located at 167 YORK WOODS RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1134088719.

Administrative operations and authorized compliance are overseen by Jennifer Knowles (Owner).

Facility Location & Contact Primary Location

Facility Address

167 York Woods Rd

South Berwick, ME 039082100

Telephone 2074083833

Authorized Official Information

Authorized Contact Name

Jennifer Knowles , R.D.M.S

Title / Role

Owner

Official Telephone

2074083833

Facility Classifications & Specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary Taxonomy

NUCC Taxonomy Code: 335V00000X

A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active January 19, 2026

NPI status registered as active in NPPES database

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Updated Practice Location January 19, 2026

Registered at 167 YORK WOODS RD, SOUTH BERWICK, ME 039082100 (Tel: 2074083833)

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Updated Business Mailing Address January 19, 2026

Registered at 167 YORK WOODS RD, SOUTH BERWICK, ME 039082100 (Tel: 2074083833)

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Organization / Clinic Name Updated January 19, 2026

Operating as DYNAMIC IMAGING LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2026

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

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Initial NPI Registration & Enumeration January 19, 2026

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1134088719
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 19, 2026
Last Update: January 19, 2026

Mailing Address

167 York Woods Rd

South Berwick, ME 039082100

Phone: 2074083833

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.