Organization
SOUTH COUNTY DIAGNOSTIC SERVICES, LLC
Active
Parent organization
SOUTH COUNTY DIAGNOSTIC SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH COUNTY DIAGNOSTIC SERVICES, LLC
Authorized official
AMANDA AGUIRRE (PRESIDENT & CEO)
(928) 315-7910
Entity
Organization
Contact information
Practice address
151 S OAK AVE STE 5, SAN LUIS, AZ 85336-0756
(928) 366-5184
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 627-1255
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
05/26/2021
Last updated
01/05/2024
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