AZ MOBILE IMAGING LLC NPI 1427016708

NPI Information

NPI: 1427016708
Provider Name: AZ MOBILE IMAGING LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
560 S 1ST ST W
SNOWFLAKE, AZ
ZIP 85937
Phone: (928) 634-0665
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AZ MOBILE IMAGING LLC is a radiology and mobile clinic center in Snowflake, AZ. AZ MOBILE IMAGING LLC NPI is 1427016708. The provider is registered as an organization entity type.

The provider's business location address is:

560 S 1ST ST W
SNOWFLAKE, AZ
ZIP 85937-223
Phone: (928) 634-0665
Fax: (928) 634-0337

The provider's authorized official is Lawrence S. Coon .
The authorized official title is Owner and has the following contact phone number (628) 536-6012.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 11/7/2007.

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	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010058	MEDICAID	ARIZONA
2	Z111732	MEDICARE PIN	ARIZONA

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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