Organization
MRI OF ARIZONA INC
Active
Other names
MRI OF ARIZONA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE BORTA (PRESIDENT)
(602) 294-9009
Entity
Organization
Contact information
Practice address
701 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 294-9009
(602) 294-9012
Mailing address
701 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 294-9009
(602) 294-9012
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
OTC 3586
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115320001
—
AZ
Enumeration date
11/02/2005
Last updated
08/28/2013
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