Az Mobile Imaging LLC

Organization Active NPI Mobile Radiology Clinic/Center · Snowflake, AZ

NPI 1427016708 · NPPES record last updated Nov 7, 2007

Key facts

NPI
1427016708
Entity type
Organization (NPI type 2)
Primary specialty
Mobile Radiology Clinic/Center 261QR0208X
Legal business name
AZ MOBILE IMAGING LLC
Practice address
560 S 1St St W
Snowflake, AZ 85937-5223
Phone
(928) 634-0665
Fax
(928) 634-0337
NPI assigned
May 3, 2006
Organization subpart
No

Authorized official

Name
Lawrence S. Coon
Title
Owner
Phone
(628) 536-6012

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Yes

Addresses

Primary practice location

560 S 1St St W
Snowflake, AZ 85937-5223

Mailing address

PO Box 4198
Cottonwood, AZ 86326-2570
Phone (928) 634-0665

Other identifiers

IdentifierTypeStateIssuer
010058MedicaidAZ

Other providers in Snowflake, AZ

All providers in Snowflake, AZ · Mobile Radiology Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.