# SHARED IMAGING LLC

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

## Provider details

- **NPI number:** 1538390737
- **Authorized official:** MR. DAVID NEALLY (VICE PRESIDENT)
- **Authorized official phone:** (800) 606-0266

## Contact information

- **Practice address:** 4212 N 16TH ST, CT SCANNER, PHOENIX, AZ 85016-5319
- **Practice address phone:** (800) 606-0266
- **Mailing address:** 801 PHOENIX LAKE AVE, STREAMWOOD, IL 60107-2363
- **Mailing address phone:** (800) 606-0266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | Yes |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | Yes |
| 261QR0208X | Mobile Radiology Clinic/Center | — | IL | — |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 05/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 705566 | — | AZ |
