Provider Demographics
NPI:1194041988
Name:ARIZONA MOBILE IMAGING LLC
Entity Type:Organization
Organization Name:ARIZONA MOBILE IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAFER
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-636-3637
Mailing Address - Street 1:2655 W GUADALUPE RD STE 31B
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-7245
Mailing Address - Country:US
Mailing Address - Phone:480-491-2224
Mailing Address - Fax:480-491-5584
Practice Address - Street 1:2655 W GUADALUPE RD STE 31B
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-7245
Practice Address - Country:US
Practice Address - Phone:480-491-2224
Practice Address - Fax:480-491-5584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier