CHOICE MEDICAL IMAGING OF ARIZONA, LLC
Radiology at Ellsworth Rd, Mesa, AZ

License number
Arizona OTC5014
Category
Ambulatory Health
Type
Radiology
Owner
Name: MR. MARTIN FARRELL
Title: OWNER/PRESIDENT
Phone: (207) 593-7501
Address
Address 2
2919 S Ellsworth Rd SUITE 101, Mesa, AZ 85212
PO Box 1169, Rockland, ME 04841
National Provider ID: 1326344375
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHOICE MEDICAL IMAGING OF ARIZONA, LLC

2919 S Ellsworth Rd #101, Mesa, AZ 85212

Doing business as:
Choice Medical Imaging Of Arizona
Registration:
Jul 28, 2010
Phone:
(480) 659-0237 (Phone)
State ID:
L-1617555-7
Expiration:
PERPETUAL
Members:
Martin J Farrell (Manager), PO Box 1169, Rockland, ME 04841 (Physical),Beck Living Trust (Member), 1835 E Lockwood St, Mesa, AZ 85203 (Physical)
Agent:
J Steven Beck,2919 S Ellsworth Rd #101, Mesa, AZ 85212 (Physical)
Categories:
Medical Imaging

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