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Organization
EAST VALLEY DIAGNOSTIC IMAGING LLC
Active
Organization
EAST VALLEY DIAGNOSTIC IMAGING LLC
Active
Other names
EVDI Medical Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. MARKS (ADMINISTRATOR)
(480) 272-8004
Entity
Organization
Contact information
Practice address
1125 E. SOUTHERN AVE, STE 200, MESA, AZ 85204-5046
(480) 545-8119
(480) 926-8332
Mailing address
1125 E. SOUTHERN AVE, STE 200, MESA, AZ 85204-5046
(480) 545-8119
(480) 926-8332
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585681
—
AZ
Enumeration date
08/12/2006
Last updated
07/20/2010
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