SHARED IMAGING LLC NPI 1538390737

NPI Information

NPI: 1538390737
Provider Name: SHARED IMAGING LLC
Classification: Radiologic Technologist - 2471C3401X
Entity Type: Organization

Specialization: Computed Tomography

CLIA Number: 14D1105943

Address:
4212 N 16TH ST
CT SCANNER
PHOENIX, AZ
ZIP 85016
Phone: (800) 606-0266
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SHARED IMAGING LLC is a computed tomography radiologic technologist in Phoenix, AZ. SHARED IMAGING LLC NPI is 1538390737. The provider is registered as an organization entity type.

The provider's business location address is:

4212 N 16TH ST
CT SCANNER
PHOENIX, AZ
ZIP 85016-319
Phone: (800) 606-0266

The provider's authorized official is David Neally .
The authorized official title is Vice President and has the following contact phone number (800) 606-0266.

The CLIA number assigned to this NPI record is 14D1105943 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2009 and was last updated on 5/15/2013.

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	261QR0208X	Clinic/Center	Radiology, Mobile		ILLINOIS	No
2	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	705566	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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