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Organization
SOUTHWEST PET INSTITUTE, LLC
Active
Organization
SOUTHWEST PET INSTITUTE, LLC
Active
Other names
Southwest PET Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI ALEXANDER (DIRECTOR OF OPERATIONS)
(760) 912-1878
Entity
Organization
Contact information
Practice address
3503 N CAMPBELL AVE, SUITE 155, TUCSON, AZ 85719-2007
(520) 321-4057
(520) 321-4061
Mailing address
3503 N CAMPBELL AVE, SUITE 155, TUCSON, AZ 85719-2007
(520) 321-4057
(520) 321-4061
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001443
RAILROAD MEDICARE
—
05
—
637796
—
AZ
Enumeration date
11/02/2005
Last updated
10/11/2007
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