Organization
SUNSONO
Active
Organization
SUNSONO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KELLY RT. RVS (OWNER/MANAGER)
(520) 309-8312
Entity
Organization
Contact information
Practice address
7012 E NELSON DR, TUCSON, AZ 85730-1718
(520) 309-8312
Mailing address
7012 E NELSON DR, TUCSON, AZ 85730-1718
(520) 309-8312
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
00096509
AZ
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
CRT-11630
AZ
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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