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NPI Code Detail

MEDICARE: ALLIED MOBILE IMAGING, LLC

MEDICARE: ALLIED MOBILE IMAGING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
22085B0100XBody Imaging Physician

General Provider Information

NPI Number : 1154918811
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED MOBILE IMAGING, LLC
Provider Business Mailing Address
First Line : PO BOX 6055
Second Line :
City : SUN CITY WEST
State : AZ
Zip : 85376-6055
Country : US
Telephone Number : 623-257-1399
Fax Number : 623-257-2133
Provider Business Practice Location Address
First Line : 2325 E CAMELBACK RD STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3514
Country : US
Telephone Number : 623-257-1399
Fax Number : 623-257-2133
Authorized Official
Title or Position : OWNER
Name : BYRON KENT GRAYSON
Credential : PA
Telephone Number : 623-986-0500
Provider Enumeration Date : 12/29/2020
Last Update Date : 04/01/2026

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Directions to “ALLIED MOBILE IMAGING, LLC ” Practice Location

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