PHOENIX DIAGNOSTIC IMAGING INC NPI 1023093135

NPI Information

  • NPI: 1023093135
  • Provider Name: PHOENIX DIAGNOSTIC IMAGING INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Other Name: PHOENIX DIAGNOSTIC IMAGING INC METRO
  • Address: 3201 W PEORIA AVE
    SUITE B404
    PHOENIX, AZ
    ZIP 85029
  • Phone: (602) 336-8600

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NPI Details

PHOENIX DIAGNOSTIC IMAGING INC is a diagnostic radiology radiology in Phoenix, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PHOENIX DIAGNOSTIC IMAGING INC NPI is 1023093135. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Phoenix Diagnostic Imaging Inc Metro.

The provider's business location address is:

3201 W PEORIA AVE
SUITE B404
PHOENIX, AZ
ZIP 85029-608
Phone: (602) 336-8600
Fax: (602) 942-8716

The provider's authorized official is Daniel J Schaefer .
The authorized official title is Credentialing Specialist and has the following contact phone number (770) 300-0101.

The enumeration date for this NPI number is 12/12/2005 and was last updated on 3/12/2009.

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
12085R0202XRadiologyDiagnostic RadiologyARIZONAYes

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
167222MEDICARE ID-TYPE UNSPECIFIEDARIZONAIDTF

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: 3/30/2025

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