Organization
RADIANT MEDICAL IMAGING, LLC
Active
Organization
RADIANT MEDICAL IMAGING, LLC
Active
Other names
Marquis Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN BARKLEY COO (CHIEF OPERATING OFFICER)
(480) 272-7771
Entity
Organization
Contact information
Practice address
1760 E PECOS RD, GILBERT, AZ 85295-3200
(480) 553-8999
(480) 553-8989
Mailing address
PO BOX 25010, OVERLAND PARK, KS 66225-5010
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891925582
BCBSAZ
AZ
05
—
447882
—
AZ
01
—
615758000
DOL
AZ
01
—
DP5763
RR MEDICARE
AZ
Enumeration date
07/16/2009
Last updated
09/18/2012
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