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Organization
OPTIMUM MOBILE IMAGING, LLC
Active
Organization
OPTIMUM MOBILE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE COLLETT (OPERATING MANAGER)
80188477812
Entity
Organization
Contact information
Practice address
1411 W MAPLEWOOD ST, CHANDLER, AZ 85286-6972
(877) 343-2783
(888) 376-9730
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158098
—
AZ
Enumeration date
10/24/2006
Last updated
07/26/2012
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