Provider Demographics
NPI:1851713085
Name:AZ TECH RADIOLOGY & OPEN MRI
Entity Type:Organization
Organization Name:AZ TECH RADIOLOGY & OPEN MRI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAHWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-889-3500
Mailing Address - Street 1:1840 W APACHE TRL
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-3728
Mailing Address - Country:US
Mailing Address - Phone:480-889-3500
Mailing Address - Fax:480-889-3501
Practice Address - Street 1:450 W ADAMSVILLE RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-8582
Practice Address - Country:US
Practice Address - Phone:520-868-4000
Practice Address - Fax:520-868-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty