Grand Canyon Medical Imaging Llc

LBN: Grand Canyon Medical Imaging Llc
Grand Canyon Medical Imaging Llc is an health care organization with primary practice located at 3269 Stockton Hill Rd , Kingman AZ 86401-3619. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Grand Canyon Medical Imaging Llc can be contacted via phone (928) 757-0620, or through Burge, William R via phone (714) 754-5800.

Contact Information

Primary practice address
3269 Stockton Hill Rd Kingman AZ 86401-3619
Phone: (928) 757-0620
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burge, William R Doctor of Medicine (MD)
Phone: (714) 754-5800

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Arizona

Profile Details

NPI number 1629109095
LBN Legal business name Grand Canyon Medical Imaging Llc
DBA Doing business as
Authorized official Burge, William R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 12th, 2007 - about 19 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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