Organization Active NPI

The VHS Arizona Imaging Centers Limited Partnership

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1821075631
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OTC 4140 Issued in AZ
Legal business name
THE VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP
Doing business as
Abrazo Advanced Imaging Arrowhead
Practice address
18555 N 79TH Ave
Suite C-104
Glendale, AZ 85308-8370
Phone
(623) 334-2500
Fax
(623) 334-3240
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Carol A Bailey
Title
Vice President
Phone
(615) 665-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X OTC 4140 AZ Primary

Addresses

Primary practice location

18555 N 79TH Ave
Suite C-104
Glendale, AZ 85308-8370

Mailing address

20 Burton Hills Blvd
Suite 100, Attn: Carol Bailey
Nashville, TN 37215-6197
Phone (615) 665-6000

Other identifiers 1

IdentifierTypeStateIssuer
574948MedicaidAZ

Other names 1

  • Abrazo Advanced Imaging Arrowhead Doing business as

National Provider Directory

National Provider Directory

Locations

18555 N 79th Ave
Ste C104
Glendale, AZ 85308
Phone (480) 245-6168

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1821075631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD",
            "address_2": "SUITE 100, ATTN: CAROL BAILEY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156197",
            "telephone_number": "615-665-6000",
            "fax_number": "615-665-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "SUITE C-104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-334-2500",
            "fax_number": "623-334-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-665-6000"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "OTC 4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574948",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abrazo Advanced Imaging Arrowhead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.