Organization
CHOICE MEDICAL IMAGING OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN FARRELL (OWNER/PRESIDENT)
(207) 593-7501
Entity
Organization
Contact information
Practice address
2919 S ELLSWORTH RD, SUITE 101, MESA, AZ 85212-2164
(480) 358-9500
(480) 358-9525
Mailing address
PO BOX 1169, ROCKLAND, ME 04841-1169
(207) 593-7501
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
OTC5014
AZ
Other
Enumeration date
02/08/2011
Last updated
08/23/2013
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