Provider Demographics
NPI:1811019565
Name:NEWSCAN IMAGING LLC
Entity Type:Organization
Organization Name:NEWSCAN IMAGING LLC
Other - Org Name:CLEARSCAN IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-808-9700
Mailing Address - Street 1:4235 N 32ND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4766
Mailing Address - Country:US
Mailing Address - Phone:602-808-9700
Mailing Address - Fax:602-955-0680
Practice Address - Street 1:4235 N 32ND ST
Practice Address - Street 2:SUITE A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4766
Practice Address - Country:US
Practice Address - Phone:602-808-9700
Practice Address - Fax:602-955-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7D79772471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiographyGroup - Single Specialty