Az Mobile Imaging LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 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

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence S. Coon

Title

Owner

Phone

(628) 536-6012

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1427016708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4198",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262570",
            "telephone_number": "928-634-0665",
            "fax_number": "928-634-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S 1ST ST W",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375223",
            "telephone_number": "928-634-0665",
            "fax_number": "928-634-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "628-536-6012"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.