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 7, SAN LUIS, AZ 85336-0756
(928) 366-5166
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
09/07/2023
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