BANNER IMAGING SERVICES LLC NPI 1841846920

NPI Information

BANNER IMAGING SERVICES LLC is a diagnostic radiology radiology in Casa Grande, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BANNER IMAGING SERVICES LLC NPI is 1841846920. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1828 E. FLORENCE BLVD BLDG B STE 118 & 128
SUITE 118 AND 128
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 381-9729

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D2181638 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2019 and was last updated on 12/22/2021.

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:

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