Healthcare Provider Details

I. General information

NPI: 1932981685
Provider Name (Legal Business Name): GALAN'S MOBILE ULTRASOUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5008 W NORTHERN AVE STE 14
GLENDALE AZ
85301-1570
US

IV. Provider business mailing address

12329 N 121ST AVE
EL MIRAGE AZ
85335-3349
US

V. Phone/Fax

Practice location:
  • Phone: 602-699-7902
  • Fax: 623-289-7898
Mailing address:
  • Phone: 602-544-7772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EILIER ALARCON GALAN
Title or Position: DIAGNOSTIC MEDICAL SONOGRAPHER
Credential: APCA-RDMS
Phone: 602-544-7772