Portable Xray Of Arizona Phoenix

LBN: Portable Xray Of Arizona Phoenix
Portable Xray Of Arizona Phoenix is an health care organization with primary practice located at 2338 W. Royal Palm Ave Suite A, Phoenix AZ 85029. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Portable Xray Of Arizona Phoenix can be contacted via phone (602) 864-3656, or through Williams, Robbie D via phone (702) 939-6559.

Contact Information

Primary practice address
2338 W. Royal Palm Ave Suite A Phoenix AZ 85029
Phone: (602) 864-3656
Fax: (602) 864-0386
Website:
Map and Directions
Authorized official contact:
Name: Williams, Robbie D
Phone: (702) 939-6559

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1588647432
LBN Legal business name Portable Xray Of Arizona Phoenix
DBA Doing business as
Authorized official Williams, Robbie D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588647432 NPPES
Arizona MEDICAID 579055

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