Organization
PREMIER MOUNTAIN IMAGING CENTER
Active
Other names
Premier Mountain Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAKESH PAHWA (OWNER)
(888) 488-2702
Entity
Organization
Contact information
Practice address
5448 WHITE MOUNTAIN BLVD STE 110, LAKESIDE, AZ 85929-5736
(888) 488-2702
(888) 235-9876
Mailing address
5448 WHITE MOUNTAIN BLVD STE 110, LAKESIDE, AZ 85929-5736
(888) 488-2702
(888) 235-9876
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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