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Organization

SHARED IMAGING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID NEALLY (VICE PRESIDENT)
(800) 606-0266
Entity
Organization

Contact information

Practice address
4212 N 16TH ST, CT SCANNER, PHOENIX, AZ 85016-5319
(800) 606-0266
Mailing address
801 PHOENIX LAKE AVE, STREAMWOOD, IL 60107-2363
(800) 606-0266

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
261QR0208X
Mobile Radiology Clinic/Center
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
705566
AZ
Enumeration date
08/05/2009
Last updated
05/15/2013
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