# SIMPLY MOBILE DIAGNOSTIC IMAGING LLC

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

## Provider details

- **NPI number:** 1720776800
- **Authorized official:** DIONICIA AHYDEE SEGURA (MANAGER)
- **Authorized official phone:** (480) 209-2882

## Contact information

- **Practice address:** 10917 E CRESCENT AVE, MESA, AZ 85208-2662
- **Practice address phone:** (928) 550-0485
- **Mailing address:** 340 W 32ND ST STE 123, YUMA, AZ 85364-8128
- **Mailing address phone:** (928) 550-1485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2023
- **Last updated:** 05/03/2023