Provider Demographics
NPI:1235108614
Name:QUESTAR TUCSON INC
Entity Type:Organization
Organization Name:QUESTAR TUCSON INC
Other - Org Name:TUCSON OPEN SCAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-498-4899
Mailing Address - Street 1:10425 N ORACLE RD
Mailing Address - Street 2:SUITE 155
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9357
Mailing Address - Country:US
Mailing Address - Phone:520-498-4899
Mailing Address - Fax:520-575-7122
Practice Address - Street 1:10425 N ORACLE RD
Practice Address - Street 2:SUITE 155
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85737-9357
Practice Address - Country:US
Practice Address - Phone:520-498-4899
Practice Address - Fax:520-575-7122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ64272Medicare ID - Type Unspecified