Organization Active NPI

Advanced Radiology Healthcare LLC

  • Diagnostic Radiology Physician
  • Yuma, AZ
National Provider Identifier
1073563854
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED RADIOLOGY HEALTHCARE LLC
Practice address
2270 S Ridgeview Drive
Yuma, AZ 85364
Phone
(877) 307-8553
Fax
(805) 583-1729
NPI assigned
May 11, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Sandra Michelle Studner
Title
Administrator
Phone
(877) 307-8553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

2270 S Ridgeview Drive
Yuma, AZ 85364

Mailing address

PO Box 17049
Phoenix, AZ 85011-0049
Phone (877) 307-8553

Other identifiers 2

IdentifierTypeStateIssuer
AZ0368950OtherAZBLUE CROSS
087700MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2270 S Ridgeview Dr
Yuma, AZ 85364
Phone (928) 344-5006

2270 S Ridgeview Dr
#P
Yuma, AZ 85364
Phone (928) 344-5006

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1073563854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17049",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850110049",
            "telephone_number": "877-307-8553",
            "fax_number": "805-583-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 S RIDGEVIEW DRIVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "877-307-8553",
            "fax_number": "805-583-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RADIOLOGY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "STUDNER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "877-307-8553"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0368950",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087700",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.