Organization
SOUTH COUNTY DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL PENUELAS (CLINICAL OPERATIONS DIRECTOR)
(928) 315-7910
Entity
Organization
Contact information
Practice address
1233 N MAIN ST STE 1B, SAN LUIS, AZ 85336-0663
(928) 550-5103
(928) 550-5093
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
03/11/2026
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