ADVANCED HEALTHCARE RESOURCES INC NPI 1174674048

NPI Information

NPI: 1174674048
Provider Name: ADVANCED HEALTHCARE RESOURCES INC
Classification: Radiologic Technologist - 2471C3401X
Entity Type: Organization

Specialization: Computed Tomography

Address:
4212 N 16TH ST
ATTN CT SCANNER
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1626
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ADVANCED HEALTHCARE RESOURCES INC is a computed tomography radiologic technologist in Phoenix, AZ. ADVANCED HEALTHCARE RESOURCES INC NPI is 1174674048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4212 N 16TH ST
ATTN CT SCANNER
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1626
Fax: (602) 263-1627

The provider's authorized official is Raymond Stachowiak .
The authorized official title is President and has the following contact phone number (630) 483-3980.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 10/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2471C3401X	Radiologic Technologist	Computed Tomography			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0813860	OTHER	ARIZONA	AZ BCBS PROV ID
2	26753	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	AZ MEDICARE PROV ID
3	144866	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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