Desert Valley Radiology
LBN: Desert Valley Radiology, Plc
Desert Valley Radiology is an health care organization with primary practice located at 5424 E. Southern Ave. Ste. 101, Mesa AZ 85206-3621. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty.
Desert Valley Radiology, Plc can be contacted via phone (480) 776-5340, or through Wall Iii, William J via phone (602) 867-0404.
Contact Information
Primary practice address
5424 E. Southern Ave. Ste. 101
Mesa AZ 85206-3621
Phone: (480) 776-5340
Fax: (480) 776-5344
Website:
Authorized official contact:
Name: Wall Iii, William J Doctor of Medicine (MD)
Phone: (602) 867-0404
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1649368515 |
|---|---|
| LBN Legal business name | Desert Valley Radiology, Plc |
| DBA Doing business as | Desert Valley Radiology |
| Authorized official | Wall Iii, William J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 8th, 2011 - about 15 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 | 1649368515 | NPPES |
| Arizona | MEDICAID | 333218 |
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