Organization
EXTREMITY IMAGING CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PAUL JACOBY DPM (OWNER)
(480) 994-5977
Entity
Organization
Contact information
Practice address
8962 E DESERT COVE DR # 125, SCOTTSDALE, AZ 85260-6984
(480) 526-5440
(480) 990-9397
Mailing address
7301 E 2ND ST STE 202, SCOTTSDALE, AZ 85251-5610
(480) 994-5977
(480) 990-9397
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
1058929
AZ
261QR0200X
Radiology Clinic/Center
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Other
Enumeration date
12/03/2012
Last updated
04/12/2013
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