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Organization
BOISE IMAGING SOLUTIONS LLC
Active
Organization
BOISE IMAGING SOLUTIONS LLC
Active
Other names
Pacific Mobile Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA MALOOF (TREASURER)
(469) 636-5055
Entity
Organization
Contact information
Practice address
1351 W PINE AVE STE A, MERIDIAN, ID 83642-2010
(949) 487-9500
Mailing address
1600 W BROADWAY RD STE 155, TEMPE, AZ 85282-1138
(949) 487-9500
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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