High Desert Vein Center

LBN: High Desert Radiology, P.C.
High Desert Vein Center is an health care organization with primary practice located at 3439 Southern Vista Dr , Kingman AZ 86401-0630. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. High Desert Radiology, P.C. can be contacted via phone (928) 718-0180, or through Bodily, Kale D via phone (928) 757-0620.

Contact Information

Primary practice address
3439 Southern Vista Dr Kingman AZ 86401-0630
Phone: (928) 718-0180
Fax: (928) 718-0181
Website:
Map and Directions
Authorized official contact:
Name: Bodily, Kale D Doctor of Medicine (MD)
Phone: (928) 757-0620

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42974 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 42974 Arizona

Profile Details

NPI number 1255601613
LBN Legal business name High Desert Radiology, P.C.
DBA Doing business as High Desert Vein Center
Authorized official Bodily, Kale D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2012
Last updated Mar 2nd, 2012 - about 12 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 1255601613 NPPES
Arizona Other 1562979-4 CORPORATION FILE NUMBER
Arizona MEDICAID 674865 CORPORATION FILE NUMBER

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