Sierra Vista Diagnostics Llc

LBN: Sierra Vista Diagnostics Llc
Sierra Vista Diagnostics Llc is an health care organization with primary practice located at 155 Calle Portal Ste 500 , Sierra Vista AZ 85635-2973. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Sierra Vista Diagnostics Llc can be contacted via phone (520) 459-5227, or through Walsh, Steven I. via phone (520) 459-5227.

Contact Information

Primary practice address
155 Calle Portal Ste 500 Sierra Vista AZ 85635-2973
Phone: (520) 459-5227
Fax: (520) 459-2191
Website:
Map and Directions
Authorized official contact:
Name: Walsh, Steven I. Doctor of Medicine (MD)
Phone: (520) 459-5227

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 9110 Arizona

Profile Details

NPI number 1104014257
LBN Legal business name Sierra Vista Diagnostics Llc
DBA Doing business as
Authorized official Walsh, Steven I. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2007
Last updated Dec 19th, 2012 - about 13 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 1104014257 NPPES
Arizona MEDICAID 255085001
Arizona Other DD8752
Arizona MEDICAID 220575001

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