WHITE MOUNTAIN IMAGING, LLC
Technologists at Highway 260, Lakeside, AZ

License number
Arizona OTC5724
Category
Technologists
Type
Magnetic Resonance Imaging
Owner
Name: BRIAN HOEFLE
Title: BOARD MEMBER
Phone: (928) 537-2077
Address
Address
5448 Highway 260, Lakeside, AZ 85929
National Provider ID: 1750368890
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WHITE MOUNTAIN IMAGING, LLC at bizstanding.com

WHITE MOUNTAIN IMAGING, LLC

#110, Lakeside, AZ 85929

Registration:
Apr 8, 2004
State ID:
L-1126980-2
Expiration:
PERPETUAL
Members:
Summit Healthcare Association (Member), 2200 E Show Low Lk Rd, Show Low, AZ 85901 (Physical),Arizona Mountain Imaging Llc (Member), 4731 S White Mtn Rd, Lakeside, AZ 85929 (Physical)
Agent:
Cgson Service Entity Llc,2800 N Central Ave #1000, Phoenix, AZ 85004 (Physical)

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