| Md Imaging | |
|
276 Lake Havasu Ave S #a-11 Lake Havasu City AZ 86403-0851 | |
| (928) 453-0506 | |
| (928) 453-0508 |
| Full Name | Md Imaging |
|---|---|
| Speciality | Psychiatry & Neurology - Diagnostic Neuroimaging |
| Location | 276 Lake Havasu Ave S, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Robert Harold Ingham (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7022276947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Imaging 1990 Mcculloch Blvd N D-215 Lake Havasu City AZ 86403-5749 Ph: (702) 227-6947 | Md Imaging 276 Lake Havasu Ave S #a-11 Lake Havasu City AZ 86403-0851 Ph: (928) 453-0506 |
| NPI Number | 1316267933 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316267933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084D0003X | Psychiatry & Neurology - Diagnostic Neuroimaging | 37903 (Arizona) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 37903 (Arizona) | Secondary |
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