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ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC NPI 1336757699


NPI Information

NPI: 1336757699
Provider Name: ARIZONA DIAGNOSTIC RADIOLOGY GROUP, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 03D2019456

Address:
4915 E BASELINE RD
GILBERT, AZ
ZIP 85234
Phone: (480) 354-9200
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ARIZONA DIAGNOSTIC RADIOLOGY GROUP, LLC is a diagnostic radiology radiology in Gilbert, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ARIZONA DIAGNOSTIC RADIOLOGY GROUP, LLC NPI is 1336757699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4915 E BASELINE RD
GILBERT, AZ
ZIP 85234-965
Phone: (480) 354-9200
Fax: (480) 354-9201

The provider's authorized official is Norman Hames .
The authorized official title is Authorized Official and has the following contact phone number (310) 445-2800.

The CLIA number assigned to this NPI record is 03D2019456 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 3/1/2021.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/14/2023

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.