Organization
THE VHS ARIZONA IMAGING CENTERS, LP
Active
Other names
TMC Advanced Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN K. KING (EXECUTIVE DIRECTOR)
(602) 674-6524
Entity
Organization
Contact information
Practice address
8620 N 22ND AVE, STE. 103, PHOENIX, AZ 85021-4251
(602) 674-6524
(602) 674-6773
Mailing address
PO BOX 975258, DALLAS, TX 75397-0001
(602) 674-6524
(602) 674-6773
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730166539
NPI
AZ
01
—
1740267590
NPI
AZ
01
—
1821075631
NPI
AZ
01
—
1912984634
NPI
AZ
01
—
1942287693
NPI
AZ
01
—
1Z7035
HEALTHNET ID
AZ
05
—
574948
—
AZ
01
—
AZ0889470
BLUE CROSS BLUE SHIELD ID
AZ
01
—
F06217
PHOENIX HEALTH PLAN
AZ
Enumeration date
02/23/2007
Last updated
07/16/2008
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