SIERRA VISTA DIAGNOSTICS LLC NPI 1104014257

NPI Information

NPI: 1104014257
Provider Name: SIERRA VISTA DIAGNOSTICS LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
155 CALLE PORTAL STE 500
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-5227
Get Directions

SIERRA VISTA DIAGNOSTICS LLC is a diagnostic radiology radiology in Sierra Vista, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SIERRA VISTA DIAGNOSTICS LLC NPI is 1104014257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 CALLE PORTAL STE 500
SIERRA VISTA, AZ
ZIP 85635-973
Phone: (520) 459-5227
Fax: (520) 459-2191

The provider's authorized official is Steven I. Walsh .
The authorized official title is Managing Partner and has the following contact phone number (520) 459-5227.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 12/19/2012.

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
1	2085R0202X	Radiology	Diagnostic Radiology	9110	ARIZONA	Yes

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
1	D37142	MEDICARE UPIN	ARIZONA
2	D37800	MEDICARE UPIN	ARIZONA
3	220575001	MEDICAID	ARIZONA
4	Z104592	MEDICARE PIN	ARIZONA
5	DD8752	OTHER	ARIZONA	RAILROAD MEDICARE
6	255085001	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »