Az Mobile Imaging Llc
Az Mobile Imaging Llc is a health care provider in Cottonwood, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information
Practice Location | 560 S 1st St W, Snowflake, AZ 85937-5223, US |
Practice Location Phone | 928-634-0665 |
Practice Location Fax | 928-634-0337 |
Legal Business Name | AZ MOBILE IMAGING LLC |
NPI ? | 1427016708 |
Entity Type | Organization |
Enumeration Date ? | May 3, 2006 |
Last Update Date ? | Nov 7, 2007 |
Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). |
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Specialties & Licenses of Az Mobile Imaging Llc
Specialty | Provider Type | Specialization | License | License State |
Clinic/Center | Ambulatory Health Care Facilities | Radiology, Mobile | | |
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Legacy Provider IDs of Az Mobile Imaging Llc
Provider Id | Issuer State | Issuer Type | Issuer |
010058 | Arizona | Medicaid | |
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Authorized Official of Az Mobile Imaging Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Az Mobile Imaging Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
Authorized Official | Lawrence S. Coon |
Authorized Official Title/Position | OWNER |
Authorized Official Phone Number | 628-536-6012 |
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