institution
P.e.t. Scan Arizona Llc
Radiology Clinic/Center in Phoenix, Arizona
NPI 1083616569

P.e.t. Scan Arizona Llc is a Radiology Clinic/Center based in Phoenix, AZ and is specialized in Radiology. P.e.t. Scan Arizona Llc practices in Phoenix, AZ. The NPI Number for P.e.t. Scan Arizona Llc is 1083616569 and holds a License No. (Arizona).

The current practice location address for P.e.t. Scan Arizona Llc is 6036 N 19Th Ave, Phoenix, AZ and can be reached out via phone at 602-589-7226 and via fax at 602-589-0816.

Location: 6036 N 19Th Ave, Phoenix, AZ, 85061-7340
institution
Provider Profile Details
NPI Number
1083616569
Provider Name
P.e.t. Scan Arizona Llc
Credential
Provider Entity Type
Organization
Address
6036 N 19Th Ave, Phoenix, AZ, 85061-7340
Phone Number
602-589-7226
Fax Number
602-589-0816
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083616569 01 NPI
555386 05 AZ
AZ0891570 01 AZ BCBS AZ
1Z7140 01 AZ HEALTH NET
institution
Provider Business Practice Location Address Details
Address
6036 N 19Th Ave
City
State
Zip
85015-2106
Phone Number
602-589-7226
Fax Number
602-589-0816
person
Provider Business Mailing Address Details
Address
6036 N 19Th Ave
City
State
Zip
85015-2106
Phone Number
602-589-7226
Fax Number
602-589-0816
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
(Arizona)
Definition
Definition to come...
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