ADVANCED HEALTHCARE RESOURCES INC NPI 1174674048

NPI Information

  • NPI: 1174674048
  • Provider Name: ADVANCED HEALTHCARE RESOURCES INC
  • Classification: Radiologic Technologist - 2471C3401X
  • Specialization: Computed Tomography
  • Entity Type: Organization
  • Address: 4212 N 16TH ST
    ATTN CT SCANNER
    PHOENIX, AZ
    ZIP 85016
  • Phone: (602) 263-1626

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NPI Details

ADVANCED HEALTHCARE RESOURCES INC is a computed tomography radiologic technologist in Phoenix, AZ. The provider is a radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care. ADVANCED HEALTHCARE RESOURCES INC NPI is 1174674048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4212 N 16TH ST
ATTN CT SCANNER
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1626
Fax: (602) 263-1627

The provider's authorized official is Raymond Stachowiak .
The authorized official title is President and has the following contact phone number (630) 483-3980.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 10/18/2011.

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
12471C3401XRadiologic TechnologistComputed TomographyYes

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
1AZ0813860OTHERARIZONAAZ BCBS PROV ID
226753MEDICARE ID-TYPE UNSPECIFIEDARIZONAAZ MEDICARE PROV ID
3144866MEDICAIDARIZONA

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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