Provider Demographics
NPI:1326522236
Name:ADVANCED INJURY CARE
Entity Type:Organization
Organization Name:ADVANCED INJURY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHNISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-816-5757
Mailing Address - Street 1:9820 E THOMPSON PEAK PKWY UNIT 175
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6614
Mailing Address - Country:US
Mailing Address - Phone:816-469-5757
Mailing Address - Fax:
Practice Address - Street 1:9820 E THOMPSON PEAK PKWY UNIT 715
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6657
Practice Address - Country:US
Practice Address - Phone:816-469-5757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2019-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)