White Mountain Imaging, Llc

LBN: White Mountain Imaging, Llc
White Mountain Imaging, Llc is an health care organization with primary practice located at 5448 Highway 260 , Lakeside AZ 85929-5739. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as the primary health care specialty. White Mountain Imaging, Llc can be contacted via phone (928) 537-2077, or through Hoefle, Brian via phone (928) 537-2077.

Contact Information

Primary practice address
5448 Highway 260 Lakeside AZ 85929-5739
Phone: (928) 537-2077
Fax: (928) 537-5282
Website:
Map and Directions
Authorized official contact:
Name: Hoefle, Brian
Phone: (928) 537-2077

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X OTC5724 Arizona

Profile Details

NPI number 1750368890
LBN Legal business name White Mountain Imaging, Llc
DBA Doing business as
Authorized official Hoefle, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750368890 NPPES
Arizona MEDICAID 918972

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