Organization
DESERT ROSE MANAGEMENT CORP
Active
Other names
Desert Rose Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA J ASHER (OFFICE MANAGER)
(816) 587-1818
Entity
Organization
Contact information
Practice address
1708 SYCAMORE AVE, KINGMAN, AZ 86401-0927
(928) 681-3600
(928) 681-3612
Mailing address
5800 NW PRAIRIE VIEW RD, KANSAS CITY, MO 64151-2764
(816) 587-1818
(816) 505-5004
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
OTC 3365
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
763707
AHCCCS
AZ
05
—
763707
—
AZ
01
—
AZ0728540
BCBS
AZ
Enumeration date
09/27/2006
Last updated
08/03/2009
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