Provider Demographics
NPI:1932981685
Name:GALAN'S MOBILE ULTRASOUND LLC
Entity Type:Organization
Organization Name:GALAN'S MOBILE ULTRASOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIAGNOSTIC MEDICAL SONOGRAPHER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILIER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALARCON GALAN
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:602-544-7772
Mailing Address - Street 1:12329 N 121ST AVE
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-3349
Mailing Address - Country:US
Mailing Address - Phone:602-544-7772
Mailing Address - Fax:
Practice Address - Street 1:6114 N 59TH AVE STE 6
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-7770
Practice Address - Country:US
Practice Address - Phone:623-937-8643
Practice Address - Fax:623-934-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center