# IMAGING ADVANCED CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144704610
- **Authorized official:** JEZ CLARK (OWNER)
- **Authorized official phone:** (408) 231-4853

## Contact information

- **Practice address:** 4566 E INVERNESS AVE STE 102, MESA, AZ 85206-4633
- **Practice address phone:** (214) 295-6703
- **Practice address fax:** (214) 245-5267
- **Mailing address:** 2853 E LA COSTA DR, GILBERT, AZ 85298-2802
- **Mailing address phone:** (480) 308-7718
- **Mailing address fax:** (480) 308-7717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2018
- **Last updated:** 05/02/2019