Organization
AMERICAN DYNAMIC IMAGING LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL B SMITH (PRESIDENT)
(817) 537-5100
Entity
Organization
Contact information
Practice address
1110 E MISSOURI AVE, SUITE 410, PHOENIX, AZ 85014-2707
(602) 274-4674
(602) 274-6060
Mailing address
121 NE LOOP 820, SUITE 200, HURST, TX 76053-7375
(817) 537-5100
(817) 537-5200
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
OTC5077
AZ
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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