COMPREHENSIVE INTERVENTIONAL CARE CENTERS PLLC NPI 1235616152

NPI Information

  • NPI: 1235616152
  • Provider Name: COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Doing Business As: COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF
  • CLIA Number: 03D2143743
  • Address: 2301 N 4TH ST
    FLAGSTAFF, AZ
    ZIP 86004
  • Phone: (928) 719-7400

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NPI Details

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC is a vascular and interventional radiology radiology in Flagstaff, AZ. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC NPI is 1235616152. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Comprehensive Interventional Care Centers, Pllc - Flagstaff.

The provider's business location address is:

2301 N 4TH ST
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 719-7400
Fax: (480) 371-1121

The provider's authorized official is Joel R. Rainwater .
The authorized official title is President and has the following contact phone number (480) 374-7354.

The CLIA number assigned to this NPI record is 03D2143743 - other - office based lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2018 and was last updated on 12/22/2020.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes
2213E00000XPodiatristNo

What is NPI?

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This page was last updated on: 11/21/2025

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