Organization
INLAND IMAGING ARIZONA LLC
Active
Organization
INLAND IMAGING ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SELF (CEO)
(602) 509-1059
Entity
Organization
Contact information
Practice address
2940 EAST BANNER GATEWAY DRIVE, STE 150, GIBLERT, AZ 85234
(509) 747-4455
(509) 363-7064
Mailing address
2940 E. BANNER GATEWAY DRIVE, STE 150, GILBERT, AZ 85234
(602) 509-1059
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
03/29/2007
Last updated
09/11/2025
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