Active NPI
Southwest Pet Institute, LLC
Doing business as Southwest PET Institute
- Radiology Clinic/Center
- Tucson, AZ
National Provider Identifier
1396736922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- SOUTHWEST PET INSTITUTE, LLC
- Doing business as
- Southwest PET Institute
- Practice address
- 3503 N Campbell Ave
Suite 155
Tucson, AZ 85719-2007 - Phone
- (520) 321-4057
- Fax
- (520) 321-4061
- NPI assigned
- Nov 2, 2005
- Last updated
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tami Alexander
- Title
- Director of Operations
- Phone
- (760) 912-1878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | Primary |
Addresses
Primary practice location
3503 N Campbell Ave
Suite 155
Tucson, AZ 85719-2007
Mailing address
3503 N Campbell Ave
Suite 155
Tucson, AZ 85719-2007
Phone (520) 321-4057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 637796 | Medicaid | AZ | |
| 470001443 | Other | RAILROAD MEDICARE |
Other names 1
- Southwest PET Institute
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nuclear Radiology Physician
- Tucson, AZ
- NPI 1760557292
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1518071612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1396736922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 N CAMPBELL AVE",
"address_2": "SUITE 155",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192007",
"telephone_number": "520-321-4057",
"fax_number": "520-321-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 N CAMPBELL AVE",
"address_2": "SUITE 155",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192007",
"telephone_number": "520-321-4057",
"fax_number": "520-321-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST PET INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2007-10-11",
"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",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "637796",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "470001443",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southwest PET Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
- Southwest Kidney Institute, PLC
- Southwest Kids Dentistry PLLC
- Southwest Laser Services,LLC
- Southwest Neuropsychology Associates, P.C.
- Southwest Orthopaedic Surgery Specialists, PLC
- Southwest Premier Urology, LLC
- Southwest Psychology LLC
- Southwest Psychotherapy & Counseling, LLC.
- Southwest Shoulder Elbow & Hand Center PC
- Southwest Skin Pathology Services, PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.