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PORTABLE XRAY OF ARIZONA PHOENIX NPI 1588647432


NPI Information

NPI: 1588647432
Provider Name: PORTABLE XRAY OF ARIZONA PHOENIX
Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
2338 W. ROYAL PALM AVE
SUITE A
PHOENIX, AZ
ZIP 85029
Phone: (602) 864-3656
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PORTABLE XRAY OF ARIZONA PHOENIX is a portable x ray and or other portable diagnostic imaging supplier in Phoenix, AZ. The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. PORTABLE XRAY OF ARIZONA PHOENIX NPI is 1588647432. The provider is registered as an organization entity type.

The provider's business location address is:

2338 W. ROYAL PALM AVE
SUITE A
PHOENIX, AZ
ZIP 85029
Phone: (602) 864-3656
Fax: (602) 864-0386

The provider's authorized official is Robbie D Williams .
The authorized official title is Director Corporate Support and has the following contact phone number (702) 939-6559.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 8/22/2020.


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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

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
1579055MEDICAIDARIZONA

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.