National Provider Identifier Database

WHITE MOUNTAIN IMAGING LLC
Magnetic Resonance Imaging Radiologic Technologist

A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

WHITE MOUNTAIN IMAGING, LLC
5448 HIGHWAY 260
LAKESIDE, AZ85929-5739
Phone: 928-537-2077
Fax: 928-537-5282
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging Radiologic Technologist 2471M1202X

* Indicates primary specialty

NPI Profile & details for WHITE MOUNTAIN IMAGING, LLC

NPI Number 1750368890
Legal business name
LBN
WHITE MOUNTAIN IMAGING, LLC
Authorized official BRIAN HOEFLE - (BOARD MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/29/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC5724
  • AZ Medicaid: 918972

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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