Prescott Interventional Radiology Llc
LBN: Prescott Interventional Radiology Llc
Prescott Interventional Radiology Llc is an health care organization with primary practice located at 980 Willow Creek Rd , Prescott AZ 86301-1611. 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.
Prescott Interventional Radiology Llc can be contacted via phone (928) 443-0077, or through Kirdani, Mohamed A via phone (928) 443-0077.
Contact Information
Primary practice address
980 Willow Creek Rd
Prescott AZ 86301-1611
Phone: (928) 443-0077
Fax: (928) 443-0019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X |
Profile Details
| NPI number | 1457314825 |
|---|---|
| LBN Legal business name | Prescott Interventional Radiology Llc |
| DBA Doing business as | |
| Authorized official | Kirdani, Mohamed A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1457314825 | NPPES |
| Other | 1Z7128 | HEALTH NET |
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