Organization
CELLGENIX IMAGING SERVICES OF PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM CORLLETT MBR (CEO)
(949) 276-7155
Entity
Organization
Contact information
Practice address
4540 E COTTON GIN LOOP, PHOENIX, AZ 85040-8887
(949) 276-7155
(949) 276-7158
Mailing address
29222 RANCHO VIEJO RD, SUITE 101, SAN JUAN CAPISTRANO, CA 92675-1041
(949) 276-7155
(949) 276-7158
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
11/11/2009
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