# MITCHELL IMAGING MOBILE DIAGNOSTIC ULTRASOUND, LLC

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

## Provider details

- **NPI number:** 1578064044
- **Authorized official:** KRISTEN LEAH MITCHELL (PRESIDENT)
- **Authorized official phone:** (559) 269-9437

## Contact information

- **Practice address:** 6618 N DE WOLF AVE, CLOVIS, CA 93619-9237
- **Practice address phone:** (559) 269-9437
- **Mailing address:** PO BOX 647, CLOVIS, CA 93613-0647

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2018
- **Last updated:** 02/21/2018