Provider Demographics
NPI:1407286354
Name:THE VHS ARIZONA IMAGING CENTERS, LP
Entity Type:Organization
Organization Name:THE VHS ARIZONA IMAGING CENTERS, LP
Other - Org Name:TMC ADVANCED IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-899-4661
Mailing Address - Street 1:1343 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5941
Mailing Address - Country:US
Mailing Address - Phone:480-899-4661
Mailing Address - Fax:480-899-0177
Practice Address - Street 1:6120 N 16TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-1705
Practice Address - Country:US
Practice Address - Phone:480-899-4661
Practice Address - Fax:480-899-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC5869261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZOTC-5869OtherAZ DEPT. OF HEALTH