Desert Valley Radiology

LBN: Desert Valley Radiology, Plc
Desert Valley Radiology is an health care organization with primary practice located at 5424 E. Southern Ave. Ste. 101, Mesa AZ 85206-3621. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Desert Valley Radiology, Plc can be contacted via phone (480) 776-5340, or through Wall Iii, William J via phone (602) 867-0404.

Contact Information

Primary practice address
5424 E. Southern Ave. Ste. 101 Mesa AZ 85206-3621
Phone: (480) 776-5340
Fax: (480) 776-5344
Website:
Map and Directions
Authorized official contact:
Name: Wall Iii, William J Doctor of Medicine (MD)
Phone: (602) 867-0404

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1649368515
LBN Legal business name Desert Valley Radiology, Plc
DBA Doing business as Desert Valley Radiology
Authorized official Wall Iii, William J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Mar 8th, 2011 - about 13 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 1649368515 NPPES
Arizona MEDICAID 333218

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