Organization
PORTABLE XRAY OF ARIZONA TUCSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBBIE D WILLIAMS (DIRECTOR CORPORATE SUPPORT)
(702) 939-6559
Entity
Organization
Contact information
Practice address
1020 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
(520) 322-8111
(520) 322-9988
Mailing address
1020 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
(520) 322-8111
(520) 322-9988
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
0133882
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579055
—
AZ
Enumeration date
11/21/2005
Last updated
08/22/2020
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