Premier Mountain Imaging Center

NPI #1184302002 in Lakeside, Arizona

Provider Information

NPI Number: 1184302002
Entity Type: Organization
Organization Name: Premier Mountain Imaging Center
Primary Specialty: Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date: Jul 10, 2023
Last Updated: Jul 10, 2023

Practice Location

Address: 5448 WHITE MOUNTAIN BLVD STE 110
City: Lakeside
State: Arizona
ZIP Code: 85929-5736
Phone: (888) 488-2702

Authorized Official

Name: MR. RAKESH PAHWA
Title: OWNER
Phone: (888) 488-2702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X	Primary

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