# BOISE IMAGING SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Mobile Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255185716
- **Authorized official:** TANGINA R EDWARDS (TREASURER)
- **Authorized official phone:** (602) 313-4556

## Contact information

- **Practice address:** 1351 W PINE AVE STE A, MERIDIAN, ID 83642-2010
- **Practice address phone:** (208) 994-3424
- **Mailing address:** 1600 W BROADWAY RD STE 155, TEMPE, AZ 85282-1138
- **Mailing address phone:** (208) 994-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2024
- **Last updated:** 09/19/2024