Organization
MOBILE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA L GILLEN (DIRECTOR OF BUSINESS DEVELOPMENT)
(219) 779-0606
Entity
Organization
Contact information
Practice address
6424 E GREENWAY PKWY STE 100, SCOTTSDALE, AZ 85254-2045
(480) 750-7192
(480) 750-7193
Mailing address
6424 E GREENWAY PKWY STE 100, SCOTTSDALE, AZ 85254-2045
(480) 750-7192
(480) 750-7193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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