Organization
PHOENIX MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE RODRIGUEZ (OWNER)
(623) 295-9761
Entity
Organization
Contact information
Practice address
2601 N 3RD ST, SUITE 308, PHOENIX, AZ 85004-1104
(623) 295-9761
Mailing address
1821 N. 11TH LANE, AVONDALE, AZ 85392
(623) 295-9761
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
AZ
Other
Enumeration date
09/01/2016
Last updated
09/15/2016
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