1730166539 NPI number — VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP

Table of content: (NPI 1730166539)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730166539 NPI number — VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TMC ADVANCED IMAGING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730166539
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1343 N ALMA SCHOOL RD
Provider Second Line Business Mailing Address:
SUITE 160
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85224-5941
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-889-4661
Provider Business Mailing Address Fax Number:
480-889-0177

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1351 N ALMA SCHOOL RD
Provider Second Line Business Practice Location Address:
SUITE 115
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-5936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-889-4661
Provider Business Practice Location Address Fax Number:
480-889-0177
Provider Enumeration Date:
12/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
TULI
Authorized Official First Name:
PARAMVIR
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
480-899-4661

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  OTC 4138 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 574948 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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