# NORTHWEST MOBILE IMAGING, LLC

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

## Provider details

- **NPI number:** 1932156981
- **Authorized official:** MR. DARREN GLASSMAN (PRESIDENT)
- **Authorized official phone:** (503) 646-7777

## Contact information

- **Practice address:** 6140 SW ARCTIC DR, BEAVERTON, OR 97005-9448
- **Practice address phone:** (503) 646-7777
- **Mailing address:** PO BOX 66500, PORTLAND, OR 97290
- **Mailing address phone:** (503) 657-8663

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 11/15/2007