Advanced Healthcare Resources Inc

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

Legal business name

ADVANCED HEALTHCARE RESOURCES INC

Practice address

4212 N 16TH St
Attn CT Scanner
Phoenix, AZ 85016-5319

Phone

(602) 263-1626

Fax

(602) 263-1627

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Stachowiak

Title

President

Phone

(630) 483-3980

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1174674048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PHOENIX LAKE AVE",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072363",
            "telephone_number": "630-483-3980",
            "fax_number": "630-483-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "address_2": "ATTN CT SCANNER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1626",
            "fax_number": "602-263-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "STACHOWIAK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-483-3980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144866",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BCBS PROV ID",
            "identifier": "AZ0813860",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.