Organization
STAND-UP MRI OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LONGLEY (MANAGER)
(623) 815-8500
Entity
Organization
Contact information
Practice address
8581 W KELTON LN, SUITE 202, PEORIA, AZ 85382-4757
(623) 815-8500
(623) 815-7773
Mailing address
8581 W KELTON LN, SUITE 202, PEORIA, AZ 85382-4757
(623) 815-8500
(623) 815-7773
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875693
—
AZ
Enumeration date
10/13/2006
Last updated
08/22/2020
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