Provider Demographics
NPI:1407165442
Name:BUCKEYE IMAGING CENTER
Entity Type:Organization
Organization Name:BUCKEYE IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VARTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-688-2226
Mailing Address - Street 1:3218 E BELL RD STE 160
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2727
Mailing Address - Country:US
Mailing Address - Phone:602-688-2226
Mailing Address - Fax:
Practice Address - Street 1:715 E MONROE AVE STE A
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-2907
Practice Address - Country:US
Practice Address - Phone:480-717-2212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty