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CHANDLER RADIOLOGY ASSOCIATES LLC NPI 1902245772


NPI Information

NPI: 1902245772
Provider Name: CHANDLER RADIOLOGY ASSOCIATES LLC
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
20750 N JOHN WAYNE PKWY
MARICOPA, AZ
ZIP 85139
Phone: (520) 233-2468
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CHANDLER RADIOLOGY ASSOCIATES LLC is a body imaging radiology in Maricopa, AZ. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. CHANDLER RADIOLOGY ASSOCIATES LLC NPI is 1902245772. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20750 N JOHN WAYNE PKWY
MARICOPA, AZ
ZIP 85139
Phone: (520) 233-2468

The provider's authorized official is Kathleen Kondas .
The authorized official title is Officer and has the following contact phone number (954) 838-2371.

The enumeration date for this NPI number is 6/14/2013 and was last updated on 8/19/2019.


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
12085R0203XRadiologyTherapeutic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32085U0001XRadiologyDiagnostic UltrasoundNo
42085R0202XRadiologyDiagnostic RadiologyNo
52085B0100XRadiologyBody ImagingYes
62085P0229XRadiologyPediatric RadiologyNo

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
1F02278MEDICAIDARIZONA

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

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