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.
Organization
ARIZONA INSTITUTE OF MEDICINE AND SURGERY
Active
Organization
ARIZONA INSTITUTE OF MEDICINE AND SURGERY
Active
Other names
Outpatient Treatment Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZAM S. KHAN (CHIEF ADMINISTRATIVE OFFICER)
(928) 757-3636
Entity
Organization
Contact information
Practice address
3636 STOCKTON HILL ROAD, KINGMAN, AZ 86409
(928) 757-3680
(928) 757-3614
Mailing address
3636 STOCKTON HILL ROAD, KINGMAN, AZ 86409
(928) 757-3680
(928) 757-3614
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
OTC660
AZ
2085R0202X
Diagnostic Radiology Physician
OTC660
AZ
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167933
—
AZ
Enumeration date
09/22/2005
Last updated
06/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up