# MOUNTAIN HEART CATH LAB

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194988824
- **Authorized official:** SUZANNE R DUVAL (CREDENTIALING)
- **Authorized official phone:** (928) 226-6400

## Contact information

- **Practice address:** 2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
- **Practice address phone:** (928) 226-6400
- **Practice address fax:** (928) 226-6411
- **Mailing address:** 2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
- **Mailing address phone:** (928) 226-6400
- **Mailing address fax:** (928) 226-6411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 30420 | AZ | Yes |
| 261QR0404X | Cardiac Rehabilitation Clinic/Center | 30420 | AZ | — |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 04/07/2009