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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