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MODERN DIAGNOSTIC IMAGING PC NPI 1518932110


NPI Information

NPI: 1518932110
Provider Name: MODERN DIAGNOSTIC IMAGING PC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
600 S DOBSON RD
B16
CHANDLER, AZ
ZIP 85224
Phone: (480) 445-9961
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MODERN DIAGNOSTIC IMAGING PC is a radiology clinic center in Chandler, AZ. MODERN DIAGNOSTIC IMAGING PC NPI is 1518932110. The provider is registered as an organization entity type.

The provider's business location address is:

600 S DOBSON RD
B16
CHANDLER, AZ
ZIP 85224-678
Phone: (480) 445-9961
Fax: (480) 445-9972

The provider's authorized official is Sheetal G. Mehta .
The authorized official title is Owner and has the following contact phone number (480) 445-9961.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 3/12/2012.


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
1AZ0153760OTHERARIZONABCBSAZ
2P00310142MEDICARE PINARIZONA
32Z2341OTHERARIZONAHEALTH NET OF ARIZONA
4Z107628MEDICARE PINARIZONA
5181760MEDICAIDARIZONA

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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