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Organization

AZ TECH RADIOLOGY & OPEN MRI

Active
Other names
AZ-Tech Radiology & Open MRI, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAKESH K PAWHA (ADMINISTRATOR)
(480) 889-3500
Entity
Organization

Contact information

Practice address
8035 E BROWN RD BLDG 4, MESA, AZ 85207-3902
(480) 889-3500
(480) 889-3501
Mailing address
2653 W GUADALUPE RD STE 200, MESA, AZ 85202-7200
(480) 889-3500
(480) 889-3501

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M11054
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M11054
LICENSE
AZ
Enumeration date
06/15/2017
Last updated
06/15/2017
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