East Valley Diagnostic Imaging LLC

NPI #1164434098 in Mesa, Arizona

Provider Information

NPI Number
1164434098
Entity Type
Organization
Organization Name
East Valley Diagnostic Imaging LLC
Primary Specialty
Clinic/Center - Radiology, Mammography
Enumeration Date
Aug 12, 2006
Last Updated
Jul 20, 2010

Practice Location

Address
1125 E. SOUTHERN AVE
Address 2
STE 200
City
Mesa
State
Arizona
ZIP Code
85204-5046
Phone
(480) 545-8119

Authorized Official

Name
DEAN W. MARKS
Title
ADMINISTRATOR
Phone
(480) 272-8004

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology
Clinic/Center - Radiology, MammographyRadiology, Mammography

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