Provider Demographics
NPI:1598891582
Name:HEALTH CARE IMAGING INC
Entity Type:Organization
Organization Name:HEALTH CARE IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AYAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-258-2381
Mailing Address - Street 1:4340 E INDIAN SCHOOL RD STE 21-480
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5397
Mailing Address - Country:US
Mailing Address - Phone:602-258-2381
Mailing Address - Fax:480-990-1337
Practice Address - Street 1:202 E EARLL DR STE 190
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012
Practice Address - Country:US
Practice Address - Phone:602-258-2381
Practice Address - Fax:480-990-1337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC7998293D00000X, 335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ460890Medicaid
AZ460890Medicaid
AZZ24871Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER