HIGH DESERT RADIOLOGY P.C. NPI 1255601613

NPI Information

NPI: 1255601613
Provider Name: HIGH DESERT RADIOLOGY, P.C.

Doing Business As: HIGH DESERT VEIN CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3439 SOUTHERN VISTA DR
KINGMAN, AZ
ZIP 86401
Phone: (928) 718-0180
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HIGH DESERT RADIOLOGY, P.C. is a diagnostic radiology radiology in Kingman, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. HIGH DESERT RADIOLOGY, P.C. NPI is 1255601613. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As High Desert Vein Center.

The provider's business location address is:

3439 SOUTHERN VISTA DR
KINGMAN, AZ
ZIP 86401-630
Phone: (928) 718-0180
Fax: (928) 718-0181

The provider's authorized official is Kale D Bodily .
The authorized official title is President and has the following contact phone number (928) 757-0620.

The enumeration date for this NPI number is 1/3/2012 and was last updated on 3/2/2012.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	42974	ARIZONA	No
2	2085R0202X	Radiology	Diagnostic Radiology	42974	ARIZONA	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	674865	MEDICAID	ARIZONA
2	1562979-4	OTHER	ARIZONA	CORPORATION FILE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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