PHOENIX PET PARTNERS LLC NPI 1114077187

NPI Information

  • NPI: 1114077187
  • Provider Name: PHOENIX PET PARTNERS, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 4540 E COTTON GIN LOOP
    STE 150
    PHOENIX, AZ
    ZIP 85040
  • Phone: (602) 331-1771

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NPI Details

PHOENIX PET PARTNERS, LLC 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 PET PARTNERS, LLC NPI is 1114077187. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4540 E COTTON GIN LOOP
STE 150
PHOENIX, AZ
ZIP 85040-820
Phone: (602) 331-1771

The provider's authorized official is Michael Lawson .
The authorized official title is President and has the following contact phone number (602) 331-1771.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/27/2010.

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 RadiologyYes

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
1Z117647MEDICARE PIN
2219323MEDICAIDARIZONA

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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