Organization
PORTABLE DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM MCNAMEE (PRESIDENT/CEO)
(651) 470-1815
Entity
Organization
Contact information
Practice address
5534 W RIVIERA DR, GLENDALE, AZ 85304-2700
(651) 470-1815
Mailing address
5534 W RIVIERA DR, GLENDALE, AZ 85304-2700
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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