Organization
ARIZONA ADVANCED IMAGING CENTER LLC
Active
Organization
ARIZONA ADVANCED IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN ZAHNISER (CEO)
(480) 308-7718
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE, SUITE 102, MESA, AZ 85206-4633
(480) 380-7718
(480) 308-7717
Mailing address
4566 E INVERNESS AVE STE 102, MESA, AZ 85206-4633
(480) 308-7718
(480) 308-7717
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
OTC3591
AZ
261QR0200X
Radiology Clinic/Center
OTC3591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858532
—
AZ
01
—
DC2759
RAILROAD MEDICARE
AZ
Enumeration date
05/10/2006
Last updated
02/20/2019
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