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PARADISE RADIOLOGY LLC NPI 1265732804


NPI Information

NPI: 1265732804
Provider Name: PARADISE RADIOLOGY LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
13216 N PLAZA DEL RIO BLVD
PEORIA, AZ
ZIP 85381
Phone: (602) 570-5799
Get Directions

PARADISE RADIOLOGY LLC is a vascular and interventional radiology radiology in Peoria, 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. PARADISE RADIOLOGY LLC NPI is 1265732804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13216 N PLAZA DEL RIO BLVD
PEORIA, AZ
ZIP 85381-907
Phone: (602) 570-5799

The provider's authorized official is Kamiar Massrour .
The authorized official title is Owner and has the following contact phone number (602) 570-5799.

The enumeration date for this NPI number is 10/29/2010 and was last updated on 4/4/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional Radiology33506ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z142374MEDICARE 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: 4/28/2024

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