Evdi Medical Imaging, Llc
LBN: East Valley Diagnostic Imaging Llc
Evdi Medical Imaging, Llc is an health care organization with primary practice located at 1125 E. Southern Ave Ste 200, Mesa AZ 85204-5046. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology, Mammography is the primary health care specialty.
East Valley Diagnostic Imaging Llc can be contacted via phone (480) 545-8119, or through Marks, Dean W. via phone (480) 272-8004.
Contact Information
Primary practice address
1125 E. Southern Ave Ste 200
Mesa AZ 85204-5046
Phone: (480) 545-8119
Fax: (480) 926-8332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | ||
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X |
Profile Details
| NPI number | 1164434098 |
|---|---|
| LBN Legal business name | East Valley Diagnostic Imaging Llc |
| DBA Doing business as | Evdi Medical Imaging, Llc |
| Authorized official | Marks, Dean W. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164434098 | NPPES |
| Arizona | MEDICAID | 585681 |
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