Organization
NORTHWEST IMAGING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (AUTHORIZED OFFICIAL)
(615) 465-3334
Entity
Organization
Contact information
Practice address
6060 N FOUNTAIN PLAZA DR STE 100, TUCSON, AZ 85704-7871
(520) 877-4180
(520) 498-0711
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
04/30/2021
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