Arizona State Radiology, Pc

LBN: Arizona State Radiology, Pc
Arizona State Radiology, Pc is an health care organization with primary practice located at 2492 E River Rd , Tucson AZ 85718-9552. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Arizona State Radiology, Pc can be contacted via phone (520) 722-8994, or through Rebeil-De La Rosa, Jose B via phone (520) 722-8994.

Contact Information

Primary practice address
2492 E River Rd Tucson AZ 85718-9552
Phone: (520) 722-8994
Fax: (520) 624-0117
Website:
Map and Directions
Authorized official contact:
Name: Rebeil-De La Rosa, Jose B Doctor of Medicine (MD)
Phone: (520) 722-8994

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1104877711
LBN Legal business name Arizona State Radiology, Pc
DBA Doing business as
Authorized official Rebeil-De La Rosa, Jose B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Mar 4th, 2016 - about 8 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 1104877711 NPPES
Arizona MEDICAID 005886

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