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Organization

ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC

Active
Other names
Assured Imaging Women's Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIN KIM (CEO)
(312) 774-8828
Entity
Organization

Contact information

Practice address
1400 MAIN ST. SW SUITE K, LOS LUNAS, NM 87031
(888) 233-6121
Mailing address
7717 N HARTMAN LN, TUCSON, AZ 85743-9506
(520) 744-6121
(520) 572-7138

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085R0202X
Diagnostic Radiology Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center
261QM2500X
Medical Specialty Clinic/Center
261QR0208X
Mobile Radiology Clinic/Center

Other

Enumeration date
09/03/2008
Last updated
10/09/2020
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