Organization
MEDICAL IMAGERY NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER SCHULZE (AUTHORIZED OFFICIAL)
(602) 788-1900
Entity
Organization
Contact information
Practice address
21031 N CAVE CREEK RD, SUITE F4, PHOENIX, AZ 85024-5525
(602) 788-1900
(602) 788-1902
Mailing address
21031 N CAVE CREEK RD, SUITE F4, PHOENIX, AZ 85024-5525
(602) 788-1900
(602) 788-1902
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146525
AHCCCS GROUP BILLER #
AZ
01
—
2Z4780
HEALTH NET OF AZ
AZ
Enumeration date
03/09/2006
Last updated
01/17/2008
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