OrganizationActive
South County Diagnostic Services, LLC
NPI 1003481516 · Mammography Clinic/Center · San Luis, AZ
Provider details
- NPI number
- 1003481516
- Entity type
- Organization
- Primary specialty
- Mammography Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- South County Diagnostic Services, LLC
- Authorized official
- Amanda Aguirre, President & Ceo
Practice location
151 S Oak Ave Ste 5
San Luis, AZ 85336-0756
Phone: (928) 366-5184
Fax: (928) 722-6113
Mailing address
Po Box 617
Somerton, AZ 85350-0617
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2024-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.