NORTHWEST RANCHO VISTOSO IMAGING SERVICES LLC


Address: 1845 W Orange Grove, Tucson, AZ 85741
Phone: 5204698960

NORTHWEST RANCHO VISTOSO IMAGING SERVICES LLC (NPI# 1730132036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730132036
Entity Type Organization
Organization Name NORTHWEST RANCHO VISTOSO IMAGING SERVICES LLC
Other Organization Name SOUTHERN ARIZONA DIAGNOSTIC IMAGING CENTER
Practice Address 1845 W Orange Grove
Tucson
AZ 85741
Mailing Address Po Box 36446
Tucson
AZ 85740-6446
Practice Telephone 5204698960
Mailing Telephone 5204698960
Enumeration Date 2006-05-18
Last Update Date 2007-11-06
Authorized Official Name LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES)
Authorized Official Telephone 6154657466
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
OTC-2709 AZ Ambulatory Health Care Facilities
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 866121 05

Other Provider/Organization Names

Other Name Type Code
Southern Arizona Diagnostic Imaging Center Doing Business As Name - Organization

Office Location

Street Address 1845 W ORANGE GROVE
City TUCSON
State AZ
Zip Code 85741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346425139 Darin A. Bocian,dpm,pc Podiatrist 1845 W Orange Grove, 125, Tucson, AZ 85704 2007-12-31

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NPI Name Taxonomy Address Enumeration
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1467870378 Lisa Tucci Nurse Practitioner 7105 N. Lacholla Blvd., Tucson, AZ 85741 2014-03-29
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1720619810 Grateful Healling LLC Clinic/Center 5065 E 5th St, Tucson, AZ 85711-2113 2020-01-28
1144795147 Maverick Medical Billing Services, LLC Clinic/Center 8340 N Thornydale Rd Ste 110203, Tucson, AZ 85741-1162 2018-10-05
1215424668 Tucson/lenox, LLC - Health Clinic Clinic/Center 8600 E. Rockcliff Road, Tucson, AZ 85750-9733 2018-04-20
1104354752 Sunbelt Medical Group LLC Clinic/Center 2850 North Country Club Road, Tucson, AZ 85716-1910 2017-05-26
1093183535 Community Partners Integrated Healthcare, Inc. Clinic/Center 1010 E Palmdale St, Suite 150, Tucson, AZ 85714-3308 2015-09-14
1588059018 Larry I Mann, Md Clinic/Center 3024 N Placita Fuente, Tucson, AZ 85715-3429 2015-04-01
1023448859 Gary Olsen Clinic/Center 2450 E Speedway Blvd Ste 6, Tucson, AZ 85719-4748 2013-11-14
1770921934 Zen Wei, Pllc Clinic/Center 3333 N Campbell Ave Ste 12, Tucson, AZ 85719-2362 2013-06-10
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Competitor

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City TUCSON
Zip Code 85741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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