Provider Demographics
NPI:1568087187
Name:ARIZONA IMAGING SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ARIZONA IMAGING SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIGENBUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:602-368-0458
Mailing Address - Street 1:727 E BETHANY HOME RD STE A106
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2192
Mailing Address - Country:US
Mailing Address - Phone:602-368-0458
Mailing Address - Fax:
Practice Address - Street 1:727 E BETHANY HOME RD STE A106
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2192
Practice Address - Country:US
Practice Address - Phone:602-368-0458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No293D00000XLaboratoriesPhysiological Laboratory
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier