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Organization
PREMIER MOUNTAIN IMAGING CENTER
Active
Organization
PREMIER MOUNTAIN IMAGING CENTER
Active
Other names
Premier Mountain Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAKESH PAHWA (OWNER)
(888) 488-2702
Entity
Organization
Contact information
Practice address
5448 WHITE MOUNTAIN BLVD STE 110, LAKESIDE, AZ 85929-5736
(888) 488-2702
(888) 235-9876
Mailing address
5448 WHITE MOUNTAIN BLVD STE 110, LAKESIDE, AZ 85929-5736
(888) 488-2702
(888) 235-9876
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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