# PURE IMAGE MOBILE ULTRASOUND

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

## Provider details

- **NPI number:** 1821495060
- **Authorized official:** QUANESHA MICHELLE MORGAN (DIRECTOR OF ULTRASOUND)
- **Authorized official phone:** (909) 251-5978

## Contact information

- **Practice address:** 1820 W 17TH ST, YUMA, AZ 85364-5203
- **Practice address phone:** (928) 276-4917
- **Practice address fax:** (928) 504-6003
- **Mailing address:** 1820 W 17TH ST, YUMA, AZ 85364-5203
- **Mailing address phone:** (928) 276-4917
- **Mailing address fax:** (928) 504-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 12/03/2014