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VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC NPI 1790848133


NPI Information

NPI: 1790848133
Provider Name: VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC

Doing Business As: ADVANCED IMAGING DIAGNOSTICS

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
115 S CANDY LN
BLDG. A
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 649-9999
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VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC is a radiology and mammography clinic center in Cottonwood, AZ. VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC NPI is 1790848133. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Imaging Diagnostics.

The provider's business location address is:

115 S CANDY LN
BLDG. A
COTTONWOOD, AZ
ZIP 86326-105
Phone: (928) 649-9999
Fax: (928) 649-0058

The provider's authorized official is John C Moyer .
The authorized official title is Manager and has the following contact phone number (928) 778-1251.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 10/31/2007.


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
1261QR0206XClinic/CenterRadiology, MammographyOTC2772ARIZONAYes

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
1937071MEDICAIDARIZONA
2Z64560MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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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