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Organization

IMAGING ADVANCED CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEZ CLARK (OWNER)
(408) 231-4853
Entity
Organization

Contact information

Practice address
4566 E INVERNESS AVE STE 102, MESA, AZ 85206-4633
(214) 295-6703
(214) 245-5267
Mailing address
2853 E LA COSTA DR, GILBERT, AZ 85298-2802
(480) 308-7718
(480) 308-7717

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center

Other

Enumeration date
09/20/2018
Last updated
05/02/2019
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