Southwest Pet Institute, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

OTC4028 Issued in AZ

Legal business name

SOUTHWEST PET INSTITUTE, LLC

Doing business as

Southwest PEt Institute

Practice address

1951 W 25TH St
Suite G
Yuma, AZ 85364-6925

Phone

(928) 314-4800

Fax

(928) 314-4833

NPI assigned

May 5, 2006

Last updated

Dec 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tami Alexander

Title

Director of Operations

Phone

(760) 912-1878

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southwest PEt Institute Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1033167598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W 25TH ST",
            "address_2": "SUITE G",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646925",
            "telephone_number": "928-314-4800",
            "fax_number": "928-314-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 25TH ST",
            "address_2": "SUITE G",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646925",
            "telephone_number": "928-314-4800",
            "fax_number": "928-314-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PET INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "760-912-1878"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": "OTC4028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0886210",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "991712",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest PEt Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Emergency Physicians, PLLC
• Southwest Endocrinology Associates PLLC (Dr. Manju Schorr)
• Southwest Heart and Vascular Care, LTD.
• Southwest Oncology Centers-Yuma LLC (Yuma Oncology Center)
• Southwest Pain Associates-Yuma, LLC
• Southwest Wound Center LLC
• Southwestern Arizona Neonatology PLLC.
• Southwestern Critical Care Medicine PLLC
• Southwestern Eye Center LTD
• Southwestern Eye Center LTD

• Radiology Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.