Provider Demographics
NPI:1235362831
Name:CARE IMAGING AND DIAGNOSIS LIMITED
Entity Type:Organization
Organization Name:CARE IMAGING AND DIAGNOSIS LIMITED
Other - Org Name:CARE IMAGING AND DIAGNOSIS LIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DHARMENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUDIMETLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-606-8690
Mailing Address - Street 1:15118 E CAMELVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-6405
Mailing Address - Country:US
Mailing Address - Phone:480-606-8690
Mailing Address - Fax:
Practice Address - Street 1:15118 E CAMELVIEW DR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-6405
Practice Address - Country:US
Practice Address - Phone:480-606-8690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-29
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZN-1548883-0291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory