Organization
QUALITY MEDICAL IMAGING OF ARIZONA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER CARL FASELT (PRESIDENT)
(702) 839-1133
Entity
Organization
Contact information
Practice address
8650 N 35TH AVE STE 99, PHOENIX, AZ 85051-3804
(702) 839-1133
(702) 851-1616
Mailing address
2490 PROFESSIONAL CT, ST 110, LAS VEGAS, NV 89128-0835
(702) 839-1133
(702) 851-1616
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
13743438
AZ
Other
Enumeration date
05/16/2008
Last updated
10/25/2021
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