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DESERT VALLEY RADIOLOGY PLC NPI 1447344197


NPI Information

NPI: 1447344197
Provider Name: DESERT VALLEY RADIOLOGY, PLC

Doing Business As: DESERT VALLEY RADIOLOGY

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 03D2280599

Address:
9150 W. INDIAN SCHOOL RD.
STE. 136
PHOENIX, AZ
ZIP 85037
Phone: (623) 772-6840
Get Directions

DESERT VALLEY RADIOLOGY, PLC is a radiology clinic center in Phoenix, AZ. DESERT VALLEY RADIOLOGY, PLC NPI is 1447344197. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Valley Radiology.

The provider's business location address is:

9150 W. INDIAN SCHOOL RD.
STE. 136
PHOENIX, AZ
ZIP 85037-904
Phone: (623) 772-6840
Fax: (602) 772-6844

The provider's authorized official is William J Wall Iii .
The authorized official title is President and has the following contact phone number (602) 867-0404.

The CLIA number assigned to this NPI record is 03D2280599 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/8/2011.


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
1261QR0200XClinic/CenterRadiologyYes

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
1333218MEDICAIDARIZONA
2WCKNSMEDICARE UPINARIZONA

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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