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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