Outpatien Treatment Ctr

LBN: Arizona Institure Of Medicine & Surgery
Outpatien Treatment Ctr is an health care organization with primary practice located at 3636 Stockton Hill Rd , Kingman AZ 86409. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Laboratories / Clinical Medical Laboratory, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Laboratories / Clinical Medical Laboratory is the primary health care specialty. Arizona Institure Of Medicine & Surgery can be contacted via phone (928) 757-3680, or through Khan, Azam S via phone (928) 757-3636.

Contact Information

Primary practice address
3636 Stockton Hill Rd Kingman AZ 86409
Phone: (928) 757-3680
Fax: (928) 757-3614
Website:
Map and Directions
Authorized official contact:
Name: Khan, Azam S
Phone: (928) 757-3636

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X OTC-0660 Arizona
Laboratories / Clinical Medical Laboratory 291U00000X 03D0534286 Arizona
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X OTC-0660 Arizona

Profile Details

NPI number 1962657783
LBN Legal business name Arizona Institure Of Medicine & Surgery
DBA Doing business as Outpatien Treatment Ctr
Authorized official Khan, Azam S
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2008
Last updated Jun 4th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962657783 NPPES
Arizona MEDICAID 167933
Arizona Other OTC-0660

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