Choice Medical Imaging Of Arizona, LLC
Clinic/Center, Radiology in Mesa, AZ. Organization (NPI-2).
NPI number1326344375
StatusActive
Last updated in NPPESAug 23, 2013
Details
- NPI
- 1326344375
- Entity type
- Organization (NPI-2)
- Legal business name
- Choice Medical Imaging Of Arizona, LLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2011
- Last updated
- Aug 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | OTC5014 | AZ | Yes |
Practice location
2919 S Ellsworth RdSuite 101
Mesa, AZ 85212-2164
Phone 480-358-9500 · Fax 480-358-9525
Mailing address
Po Box 1169Rockland, ME 04841-1169
Phone 207-593-7501
Authorized official
Martin Farrell
Owner/President
2075937501
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