P.E.T. Scan Arizona Llc

LBN: P.E.T. Scan Arizona Llc
P.E.T. Scan Arizona Llc is an health care organization with primary practice located at 6036 N 19Th Ave Suite 305, Phoenix AZ 85015-2106. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. P.E.T. Scan Arizona Llc can be contacted via phone (602) 589-7226, or through Brown, Terry A. via phone (602) 589-7226.

Contact Information

Primary practice address
6036 N 19Th Ave Suite 305 Phoenix AZ 85015-2106
Phone: (602) 589-7226
Fax: (602) 589-0816
Website:
Map and Directions
Authorized official contact:
Name: Brown, Terry A. MHA
Phone: (602) 589-7226

Health care specialties

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

Profile Details

NPI number 1083616569
LBN Legal business name P.E.T. Scan Arizona Llc
DBA Doing business as
Authorized official Brown, Terry A. MHA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 21st, 2022 - about 2 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 1083616569 NPPES
Other 1083616569 NPI
MEDICAID 555386 NPI
Other AZ0891570 NPI
Other 1Z7140 NPI

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