Organization
PURE IMAGE MOBILE ULTRASOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANESHA MICHELLE MORGAN (DIRECTOR OF ULTRASOUND)
(909) 251-5978
Entity
Organization
Contact information
Practice address
1820 W 17TH ST, YUMA, AZ 85364-5203
(928) 276-4917
(928) 504-6003
Mailing address
1820 W 17TH ST, YUMA, AZ 85364-5203
(928) 276-4917
(928) 504-6003
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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