Southern Arizona Diagnostic Imaging Center

LBN: Northwest Rancho Vistoso Imaging Services Llc
Southern Arizona Diagnostic Imaging Center is an health care organization with primary practice located at 1845 W Orange Grove , Tucson AZ 85741. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Northwest Rancho Vistoso Imaging Services Llc can be contacted via phone (520) 469-8960, or through Holtsford, Laurie via phone (615) 465-7466.

Contact Information

Primary practice address
1845 W Orange Grove Tucson AZ 85741
Phone: (520) 469-8960
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holtsford, Laurie
Phone: (615) 465-7466

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X OTC-2709 Arizona
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1730132036
LBN Legal business name Northwest Rancho Vistoso Imaging Services Llc
DBA Doing business as Southern Arizona Diagnostic Imaging Center
Authorized official Holtsford, Laurie
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Nov 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730132036 NPPES
Arizona MEDICAID 866121

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