SOUTH COUNTY DIAGNOSTIC SERVICES LLC NPI 1003481516

NPI Information

NPI: 1003481516
Provider Name: SOUTH COUNTY DIAGNOSTIC SERVICES, LLC
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
151 S OAK AVE STE 5
SAN LUIS, AZ
ZIP 85336
Phone: (928) 366-5184
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SOUTH COUNTY DIAGNOSTIC SERVICES, LLC is a radiology and mammography clinic center in San Luis, AZ. SOUTH COUNTY DIAGNOSTIC SERVICES, LLC NPI is 1003481516. The provider is registered as an organization entity type.

The provider's business location address is:

151 S OAK AVE STE 5
SAN LUIS, AZ
ZIP 85336-756
Phone: (928) 366-5184
Fax: (928) 722-6113

The provider's authorized official is Amanda Aguirre .
The authorized official title is President & Ceo and has the following contact phone number (928) 315-7910.

The enumeration date for this NPI number is 5/26/2021 and was last updated on 1/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory				No
2	261QR0206X	Clinic/Center	Radiology, Mammography			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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