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Organization
SHARED IMAGING LLC
Active
Organization
SHARED IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NEALLY (VICE PRESIDENT)
(800) 606-0266
Entity
Organization
Contact information
Practice address
4212 N 16TH ST, CT SCANNER, PHOENIX, AZ 85016-5319
(800) 606-0266
Mailing address
801 PHOENIX LAKE AVE, STREAMWOOD, IL 60107-2363
(800) 606-0266
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
NULL
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705566
—
AZ
Enumeration date
08/05/2009
Last updated
05/15/2013
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