Premier Sports Imaging Inc

LBN: Premier Sports Imaging Inc
Premier Sports Imaging Inc is an health care organization with primary practice located at 7111 W Bell Rd Suite 104, Glendale AZ 85308-8551. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Premier Sports Imaging Inc can be contacted via phone (623) 533-4465, or through Hiscok, Perry S via phone (602) 943-9200.

Contact Information

Primary practice address
7111 W Bell Rd Suite 104 Glendale AZ 85308-8551
Phone: (623) 533-4465
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hiscok, Perry S Doctor of Medicine (MD)
Phone: (602) 943-9200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27471 Arizona

Profile Details

NPI number 1962466722
LBN Legal business name Premier Sports Imaging Inc
DBA Doing business as
Authorized official Hiscok, Perry S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 6th, 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 1962466722 NPPES
Arizona Other AZ0782750 BCBSAZ
Arizona Other 2Z3264 BCBSAZ
Arizona MEDICAID 961905 BCBSAZ

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