Organization Active NPI

Southwest Pet Institute, LLC

Doing business as Southwest PET Institute

  • Radiology Clinic/Center
  • Tucson, AZ
National Provider Identifier
1396736922
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
637796MedicaidAZ
470001443OtherRAILROAD MEDICARE

Other names 1

  • Southwest PET Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.