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Organization

LONESTAR DIAGNOSTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES I COLLINS MD (OWNER)
(480) 733-9900
Entity
Organization

Contact information

Practice address
456 N MESA DR, MESA, AZ 85201-5913
(480) 733-9900
Mailing address
PO BOX 8039, SCOTTSDALE, AZ 85252-8039
(480) 733-9900

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
24893
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372201
AZ
Enumeration date
04/12/2007
Last updated
08/22/2020
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