Phoenix Radiology, Pllc
LBN: Phoenix Radiology, Pllc
Phoenix Radiology, Pllc is an health care organization with primary practice located at 415 6Th St , Lewiston ID 83501-2431. 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.
Phoenix Radiology, Pllc can be contacted via phone (208) 799-5335, or through Peterson, Mark W via phone (208) 743-4393.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X |
Profile Details
NPI number | 1164493334 |
---|---|
LBN Legal business name | Phoenix Radiology, Pllc |
DBA Doing business as | |
Authorized official | Peterson, Mark W Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 27th, 2006 |
Last updated | Aug 22nd, 2020 - about 5 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 | 1164493334 | NPPES |
Other | DC3860 | RAILROAD MEDICARE | |
Other | 0192979 | RAILROAD MEDICARE | |
Other | 000010148406 | RAILROAD MEDICARE | |
Other | 8J679 | RAILROAD MEDICARE | |
MEDICAID | 7124605 | RAILROAD MEDICARE |
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