| Organization Name: | PURE IMAGE MOBILE ULTRASOUND |
| NPI Number: | 1821495060 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | QUANESHA MICHELLE MORGAN (DIRECTOR OF ULTRASOUND) |
| Mailing Address: | 1820 W 17th St Yuma |
| State: | AZ US |
| Postal Code: | 853645203 |
| Phone Number: | 9282764917 |
| Fax Number: | 9285046003 |
| NPI Enumeration Date: | 12/03/2014 |
| NPI Last Update Date: | 12/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |