White Mountain Imaging, Llc in Lakeside - Magnetic Resonance Imaging

White Mountain Imaging, Llc - NPI 1750368890

White Mountain Imaging, Llc is a Magnetic Resonance Imaging in Lakeside, Arizona. White Mountain Imaging, Llc practices all healthcare services and medical treatments related to Magnetic Resonance Imaging. The NPI Number for White Mountain Imaging, Llc is 1750368890. The last update date is 2020-08-22.

White Mountain Imaging, Llc's current location address is 5448 Highway 260, Lakeside, Arizona. You can contact this provider via phone number 9285372077 and fax number 9285375282. The mailing address for White Mountain Imaging, Llc is 5448 Highway 260, Lakeside, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization White Mountain Imaging, Llc
Address 5448 Highway 260, Lakeside, Arizona
Phone Number 9285372077
Fax Number 9285375282
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BOARD MEMB
Authorized Official Name Hoefle Brian
Telephone Number 9285372077

NPI Number Detail

NPI Number 1750368890
Provider Enumeration Date 2005-12-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5448 Highway 260
City Lakeside
State Arizona (AZ)
Post Code 859295739
Phone Number 9285372077
Fax Number 9285375282

Provider's Primary Taxonomy Detail

Speciality Magnetic Resonance Imaging
Taxonomy 2471M1202X
Licence No OTC5724
Definition:
A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
918972 AZ --

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FAQs about White Mountain Imaging, Llc

What is the White Mountain Imaging, Llc's unique identification number?

The White Mountain Imaging, Llc has been assigned the NPI (National Provider Identifier) Number 1750368890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where White Mountain Imaging, Llc is located?

The White Mountain Imaging, Llc is situated at the following address: 5448 Highway 260, Lakeside, AZ, 859295739.

What is White Mountain Imaging, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for White Mountain Imaging, Llc is Magnetic Resonance Imaging, and the taxonomy code that classifies this field of practice is 2471M1202X.

On what date did the White Mountain Imaging, Llc receive its 1750368890 assignment from the Centers for Medicare & Medicaid Services?

The White Mountain Imaging, Llc was assigned its 1750368890 by the Centers for Medicare & Medicaid Services on 2005-12-29.

As of what date were the details related to White Mountain Imaging, Llc most recently updated or revised?

The information pertaining to White Mountain Imaging, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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