Desert Valley Radiology, PLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

DESERT VALLEY RADIOLOGY, PLC

Practice address

2225 W. Peoria Ave.
Ste. 150
Phoenix, AZ 85029-4938

Phone

(602) 395-5089

Fax

(602) 395-3335

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

William J Wall III, M.D.

Title

President

Phone

(602) 867-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Desert Valley Radiology Doing business as

Tax ID family

Desert Valley Radiology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Desert Valley Radiology, PLC

  • Radiology Clinic/Center
  • Phoenix, AZ
  • NPI 1447344197
  NPD tax ID
• Desert Valley Radiology, PLC

  • Radiology Clinic/Center
  • Tempe, AZ
  • NPI 1558459438
  NPD tax ID
• Desert Valley Radiology, PLC

  • Radiology Clinic/Center
  • Mesa, AZ
  • NPI 1649368515
  NPD tax ID

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1962590851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E. BELL RD.",
            "address_2": "STE. 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322245",
            "telephone_number": "602-867-0404",
            "fax_number": "602-788-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W. PEORIA AVE.",
            "address_2": "STE. 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294938",
            "telephone_number": "602-395-5089",
            "fax_number": "602-395-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY RADIOLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "WALL III",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-867-0404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333218",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Valley Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Desert Valley Primary Care Physicians
• Desert Valley Radiology, PLC
• Desert Valley Radiology, PLC
• Desert View Assisted Living
• Desert View Assisted Living
• Desert View Behavioral Health Services LLC
• Desert View Dental PLLC
• Desert View Family Clinic Corp.

• Radiology Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.