Provider Demographics
NPI:1437575776
Name:AZ IMAGING, LLC
Entity Type:Organization
Organization Name:AZ IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-299-8787
Mailing Address - Street 1:20118 N 67TH AVE
Mailing Address - Street 2:SUITE 300-616
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4621
Mailing Address - Country:US
Mailing Address - Phone:623-299-8787
Mailing Address - Fax:888-965-5094
Practice Address - Street 1:20118 N 67TH AVE
Practice Address - Street 2:SUITE 300-616
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-4621
Practice Address - Country:US
Practice Address - Phone:623-299-8787
Practice Address - Fax:888-965-5094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL190914862085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty