| Organization Name: | CORNERSTONE MOBILE IMAGING |
| NPI Number: | 1003255258 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIBERIU ANDREI PODOBEA (PRESIDENT) |
| Mailing Address: | 20399 N Fletcher Way Peoria |
| State: | AZ US |
| Postal Code: | 853821422 |
| Phone Number: | 6027939256 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2013 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | L18367038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |