Provider Demographics
NPI:1114175114
Name:AZ-TECH RADIOLOGY & OPEN MRI
Entity Type:Organization
Organization Name:AZ-TECH RADIOLOGY & OPEN MRI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAHWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-763-4114
Mailing Address - Street 1:2653 W GUADALUPE RD
Mailing Address - Street 2:STE 201
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-7200
Mailing Address - Country:US
Mailing Address - Phone:480-889-1856
Mailing Address - Fax:480-889-3502
Practice Address - Street 1:2653 W GUADALUPE RD
Practice Address - Street 2:STE 100
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-7200
Practice Address - Country:US
Practice Address - Phone:480-455-1860
Practice Address - Fax:480-455-1862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty