Provider Demographics
NPI:1245444728
Name:ARIZONA MEDICAL IMAGING PHYSICIANS, LTD.
Entity type:Organization
Organization Name:ARIZONA MEDICAL IMAGING PHYSICIANS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-248-8002
Mailing Address - Street 1:11209 N TATUM BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3024
Mailing Address - Country:US
Mailing Address - Phone:602-248-8002
Mailing Address - Fax:602-248-8399
Practice Address - Street 1:11209 N TATUM BLVD STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3024
Practice Address - Country:US
Practice Address - Phone:602-248-8002
Practice Address - Fax:602-248-8399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty