Organization
ARIZONA PORTABLE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B. JACKSON RT (ARRT) (OWNER)
(602) 241-9729
Entity
Organization
Contact information
Practice address
2011 W MULBERRY DR, PHOENIX, AZ 85015-5720
(602) 241-9729
(602) 294-9729
Mailing address
PO BOX 36934, PHOENIX, AZ 85067-6934
(602) 241-9729
(602) 294-9729
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
7-M-7564
AZ
Other
Enumeration date
07/11/2005
Last updated
08/22/2020
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