Organization
BAKORP LLC
Active
Other names
Pacific Mobile Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA MALOOF (TREASURER)
(469) 636-5055
Entity
Organization
Contact information
Practice address
1600 W BROADWAY RD STE 155, TEMPE, AZ 85282-1138
(602) 541-7520
(480) 829-3883
Mailing address
1600 W BROADWAY RD STE 155, TEMPE, AZ 85282-1138
(480) 528-3322
(480) 829-3883
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005748
—
AZ
Enumeration date
08/30/2006
Last updated
04/01/2025
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