Portable Imaging Of Arizona, Llc

LBN: Portable Imaging Of Arizona, Llc
Portable Imaging Of Arizona, Llc is an health care organization with primary practice located at 2338 W Royal Palm Rd Suite A, Phoenix AZ 85021-9339. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mobile, which is considered as the primary health care specialty. Portable Imaging Of Arizona, Llc can be contacted via phone (602) 864-3656, or through Grossa, Abby via phone (702) 939-6559.

Contact Information

Primary practice address
2338 W Royal Palm Rd Suite A Phoenix AZ 85021-9339
Phone: (602) 864-3656
Fax: (602) 864-3660
Website:
Map and Directions
Authorized official contact:
Name: Grossa, Abby
Phone: (702) 939-6559

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X

Profile Details

NPI number 1215187570
LBN Legal business name Portable Imaging Of Arizona, Llc
DBA Doing business as
Authorized official Grossa, Abby
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Mar 12th, 2009 - about 17 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 1215187570 NPPES
Arizona MEDICAID 389820
Arizona Other 389820
Arizona Other 389820

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