The VHS Arizona Imaging Centers Limited Partnership

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OTC 4139 Issued in AZ

Legal business name

THE VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP

Doing business as

Abrazo Advanced Imaging Palm Valley

Practice address

1616 N Litchfield Rd
Suite 140
Goodyear, AZ 85338-1252

Phone

(623) 536-2000

Fax

(623) 536-9090

NPI assigned

Dec 22, 2005

Last updated

Nov 3, 2016By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Abrazo Advanced Imaging Palm Valley Doing business as

Locations

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": "1912984634",
    "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": "1616 N LITCHFIELD RD",
            "address_2": "SUITE 140",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381252",
            "telephone_number": "623-536-2000",
            "fax_number": "623-536-9090"
        }
    ],
    "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": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "OTC 4139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574948",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abrazo Advanced Imaging Palm Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• 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.