# PORTABLE XRAY OF ARIZONA TUCSON

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

## Provider details

- **NPI number:** 1487637773
- **Authorized official:** MRS. ROBBIE D WILLIAMS (DIRECTOR CORPORATE SUPPORT)
- **Authorized official phone:** (702) 939-6559

## Contact information

- **Practice address:** 1020 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
- **Practice address phone:** (520) 322-8111
- **Practice address fax:** (520) 322-9988
- **Mailing address:** 1020 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
- **Mailing address phone:** (520) 322-8111
- **Mailing address fax:** (520) 322-9988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 0133882 | AZ | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 08/22/2020