Organization
PORTABLE XRAY OF ARIZONA PHOENIX
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
2338 W. ROYAL PALM AVE, SUITE A, PHOENIX, AZ 85029
(602) 864-3656
(602) 864-0386
Mailing address
2338 W. ROYAL PALM AVE, SUITE A, PHOENIX, AZ 85029
(602) 864-3656
(602) 864-0386
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579055
—
AZ
Enumeration date
11/23/2005
Last updated
08/22/2020
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