Premier Mountain Imaging Center
Clinic/Center, Magnetic Resonance Imaging (MRI) in Lakeside, AZ. Organization (NPI-2).
NPI number1184302002
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1184302002
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Mountain Imaging Center
- Organization subpart
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 10, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1200X | Clinic/Center, Magnetic Resonance Imaging (MRI) | – | – | Yes |
| 261QR0200X | Clinic/Center, Radiology | – | – |
Other names
- Premier Mountain Imaging Center (Other Name)
Practice location
5448 White Mountain Blvd Ste 110Lakeside, AZ 85929-5736
Phone 888-488-2702 · Fax 888-235-9876
Mailing address
5448 White Mountain Blvd Ste 110Lakeside, AZ 85929-5736
Phone 888-488-2702 · Fax 888-235-9876
Authorized official
Rakesh Pahwa
Owner
8884882702
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