Organization
SIMPLY MOBILE DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONICIA AHYDEE SEGURA (MANAGER)
(480) 209-2882
Entity
Organization
Contact information
Practice address
10917 E CRESCENT AVE, MESA, AZ 85208-2662
(928) 550-0485
Mailing address
340 W 32ND ST STE 123, YUMA, AZ 85364-8128
(928) 550-1485
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
05/03/2023
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