# JOHN C LINCOLN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pinnacle Radiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164500187
- **Authorized official:** NATHAN ANSPACH (SR. VICE PRESIDENT)
- **Authorized official phone:** (623) 434-6200

## Contact information

- **Practice address:** 18404 N TATUM BLVD, SUITE 101, PHOENIX, AZ 85032-1510
- **Practice address phone:** (602) 992-1900
- **Practice address fax:** (602) 485-7440
- **Mailing address:** 2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
- **Mailing address phone:** (623) 434-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OTC 1780 | AZ | Yes |
| 261QR0200X | Radiology Clinic/Center | OTC3148 | AZ | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 12/13/2016