SCAN HEALTH IMAGING LLC NPI 1073817490

NPI Information

  • NPI: 1073817490
  • Provider Name: SCAN HEALTH IMAGING LLC
  • Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
  • Entity Type: Organization
  • Address: 13943 N 91ST AVE
    SUITE 102
    PEORIA, AZ
    ZIP 85381
  • Phone: (623) 815-8200

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NPI Details

SCAN HEALTH IMAGING LLC is a portable x ray and or other portable diagnostic imaging supplier in Peoria, 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. SCAN HEALTH IMAGING LLC NPI is 1073817490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13943 N 91ST AVE
SUITE 102
PEORIA, AZ
ZIP 85381-629
Phone: (623) 815-8200
Fax: (623) 344-5458

The provider's authorized official is Manntej Sra .
The authorized official title is Owner and has the following contact phone number (623) 815-8200.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/28/2010.

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 Radiology28033ARIZONANo
2335V00000XPortable 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1579394MEDICAIDARIZONA
21Z8710OTHERARIZONAHEALTHNET PIN
3Z77385MEDICARE PINARIZONA

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: 11/21/2025

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