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PHOENIX DIAGNOSTIC IMAGING INC NPI 1952386062


NPI Information

NPI: 1952386062
Provider Name: PHOENIX DIAGNOSTIC IMAGING INC

Other Name: PHOENIX DIAGNOSTIC IMAGING FOUNTAINS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5620 W THUNDERBIRD RD
SUITE A
GLENDALE, AZ
ZIP 85306
Phone: (602) 863-9729
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PHOENIX DIAGNOSTIC IMAGING INC is a diagnostic radiology radiology in Glendale, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PHOENIX DIAGNOSTIC IMAGING INC NPI is 1952386062. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Phoenix Diagnostic Imaging Fountains.

The provider's business location address is:

5620 W THUNDERBIRD RD
SUITE A
GLENDALE, AZ
ZIP 85306-636
Phone: (602) 863-9729
Fax: (602) 978-5940

The provider's authorized official is Daniel J Schaefer .
The authorized official title is Coo and has the following contact phone number (770) 300-0101.

The enumeration date for this NPI number is 12/12/2005 and was last updated on 7/27/2010.


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 RadiologyARIZONAYes

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
1P00156014OTHERARIZONARAILROAD MEDICARE
267220MEDICARE ID-TYPE UNSPECIFIEDARIZONAIDTF

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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