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Organization
NORTHWEST MEDICAL CENTER CT MRI AT MARANA LLC
Active
Organization
NORTHWEST MEDICAL CENTER CT MRI AT MARANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES)
(615) 465-7466
Entity
Organization
Contact information
Practice address
8333 N SILVERBELL, SUITE 121, MARANA, AZ 85743
(520) 202-7790
Mailing address
8333 N SILVERBELL, SUITE 121, MARANA, AZ 85743
(520) 202-7790
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
PENDING
AZ
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
PENDING
AZ
261QM1300X
Multi-Specialty Clinic/Center
PENDING
AZ
261QR0200X
Radiology Clinic/Center
PENDING
AZ
Other
Enumeration date
08/30/2006
Last updated
11/06/2007
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