Healthcare Provider Details

I. General information

NPI: 1154918811
Provider Name (Legal Business Name): ALLIED MOBILE IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12658 W PONTEBELLA DR
PEORIA AZ
85383-5019
US

IV. Provider business mailing address

PO BOX 6055
SUN CITY WEST AZ
85376-6055
US

V. Phone/Fax

Practice location:
  • Phone: 623-257-1399
  • Fax: 623-257-2133
Mailing address:
  • Phone: 623-257-1399
  • Fax: 623-257-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: ANEELA OMAR
Title or Position: OWNER
Credential:
Phone: 623-986-0599