1790848133 NPI number — VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC

Table of content: (NPI 1790848133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790848133 NPI number — VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC
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:
Provider Other Organization Name Type Code:
6
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:
1790848133
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
47 N FRENCH DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRESCOTT
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86303-6247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-778-1251
Provider Business Mailing Address Fax Number:
928-778-7834

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 S CANDY LN
Provider Second Line Business Practice Location Address:
BLDG. A
Provider Business Practice Location Address City Name:
COTTONWOOD
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86326-4105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-649-9999
Provider Business Practice Location Address Fax Number:
928-649-0058
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MOYER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
C
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
928-778-1251

Provider Taxonomy Codes

  • Taxonomy code: 261QR0206X , with the licence number:  OTC2772 , 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: 937071 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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