Organization
APEX DIAGNOSTIC SERVICES, INC.
Active
Parent organization
APEX DIAGNOSTIC SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
APEX DIAGNOSTIC SERVICES, INC.
Authorized official
MS. TATYANA WHITE (PRESIDENT)
(702) 870-1195
Entity
Organization
Contact information
Practice address
1720 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5602
(928) 855-1550
Mailing address
5805 DOE AVE, LAS VEGAS, NV 89146-1209
(702) 870-1195
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
934027
AHCCCS (AZ MEDICAID)
AZ
Enumeration date
12/28/2006
Last updated
01/30/2008
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