Pet Scan Arizona Llc

LBN: Pet Scan Arizona Llc
Pet Scan Arizona Llc is an health care organization with primary practice located at 13460 N 94Th Dr Suite J-1, Peoria AZ 85381-4835. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Pet Scan Arizona Llc can be contacted via phone (623) 566-3777, or through Brown, Terry A via phone (623) 566-3777.

Contact Information

Primary practice address
13460 N 94Th Dr Suite J-1 Peoria AZ 85381-4835
Phone: (623) 566-3777
Fax: (623) 566-1216
Website:
Map and Directions
Authorized official contact:
Name: Brown, Terry A
Phone: (623) 566-3777

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1457326589
LBN Legal business name Pet Scan Arizona Llc
DBA Doing business as
Authorized official Brown, Terry A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 5th, 2007 - about 17 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 1457326589 NPPES
Arizona MEDICAID 555386
Arizona Other 1Z7140
Arizona Other AZ0891570

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