# SIMPLY MOBILE X-RAY INC

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

## Provider details

- **NPI number:** 1679722615
- **Authorized official:** MR. STEVEN Y CHANG R.T. (PRESIDENT)
- **Authorized official phone:** (928) 261-6379

## Contact information

- **Practice address:** 3661 W 12TH LN, YUMA, AZ 85364-9107
- **Practice address phone:** (928) 261-6379
- **Practice address fax:** (928) 276-4834
- **Mailing address:** 3661 W 12TH LN, YUMA, AZ 85364-9107
- **Mailing address phone:** (928) 261-6379
- **Mailing address fax:** (928) 276-4834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | CRT-14994 | AZ | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHT 92930 | CA | — |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 05/03/2013