Verde Valley Sedona Advanced Imaging Diagnostics LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

OTC2772 Issued in AZ

Legal business name

VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC

Doing business as

Advanced Imaging Diagnostics

Practice address

115 S Candy LN
BLDG. a
Cottonwood, AZ 86326-4105

Phone

(928) 649-9999

Fax

(928) 649-0058

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

John C Moyer

Title

Manager

Phone

(928) 778-1251

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Imaging Diagnostics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sander Frank Fleisher, MD

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1497754212
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1790848133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N FRENCH DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036247",
            "telephone_number": "928-778-1251",
            "fax_number": "928-778-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CANDY LN",
            "address_2": "BLDG. A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264105",
            "telephone_number": "928-649-9999",
            "fax_number": "928-649-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-778-1251"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "AZ",
            "license": "OTC2772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937071",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Imaging Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Verde Valley Heart, LLC (Verde Valley Heart Center)
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• Verde Valley Medical Center
• Verde Valley Occupational Therapy LLC
• Verde Valley Orthopedics PC
• Verde Valley Urgent Care and Occupational Medicine, PLC
• Laurie Verdier, LPC
• Brynna Scout Fullerton Vergara
• Steven Vergara, D.D.S.
• Neeraj Vij, M.D.

• Mammography Clinic/Center in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Mammography Clinic/Center in Arizona

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