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Organization
NOVASTACK LLC
Active
Organization
NOVASTACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA BENTLEY (OWNER)
(480) 210-2734
Entity
Organization
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(480) 210-2734
Mailing address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(480) 210-2734
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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