Organization
BOISE IMAGING SOLUTIONS LLC
Active
Other names
Pacific Mobile Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA R EDWARDS (TREASURER)
(602) 313-4556
Entity
Organization
Contact information
Practice address
1351 W PINE AVE STE A, MERIDIAN, ID 83642-2010
(208) 994-3424
Mailing address
1600 W BROADWAY RD STE 155, TEMPE, AZ 85282-1138
(208) 994-3424
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
09/19/2024
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