Desert Open Mri Llc

LBN: Desert Open Mri Llc
Desert Open Mri Llc is an health care organization with primary practice located at 1125 E Southern Ave Suite 200, Mesa AZ 85204-5045. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Desert Open Mri Llc can be contacted via phone (480) 545-8119, or through Marks, Dean W. via phone (480) 545-8119.

Contact Information

Primary practice address
1125 E Southern Ave Suite 200 Mesa AZ 85204-5045
Phone: (480) 545-8119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marks, Dean W.
Phone: (480) 545-8119

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X Arizona

Profile Details

NPI number 1568474401
LBN Legal business name Desert Open Mri Llc
DBA Doing business as
Authorized official Marks, Dean W.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1568474401 NPPES
Arizona MEDICAID 585681

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