Provider Demographics
NPI:1780793919
Name:COMPUDIAGNOSTICS INC
Entity type:Organization
Organization Name:COMPUDIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:RVT
Authorized Official - Phone:480-998-9226
Mailing Address - Street 1:10645 N TATUM BLVD
Mailing Address - Street 2:STE 200-655
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3068
Mailing Address - Country:US
Mailing Address - Phone:480-998-9226
Mailing Address - Fax:
Practice Address - Street 1:13629 W CAMINO DEL SOL
Practice Address - Street 2:#150
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-1405
Practice Address - Country:US
Practice Address - Phone:480-998-9226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ114103Medicare PIN