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PRESCOTT MEDICAL IMAGING LLC NPI 1568424315


NPI Information

NPI: 1568424315
Provider Name: PRESCOTT MEDICAL IMAGING, LLC
Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
810 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301
Phone: (928) 771-7577
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PRESCOTT MEDICAL IMAGING, LLC is a radiologic technologist in Prescott, AZ. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. PRESCOTT MEDICAL IMAGING, LLC NPI is 1568424315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

810 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301-606
Phone: (928) 771-7577
Fax: (928) 771-7616

The provider's authorized official is Stanley Rhett Smith .
The authorized official title is Medical Director and has the following contact phone number (928) 778-1971.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 7/25/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247100000XRadiologic TechnologistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z76086MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.