VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC (NPI# 1790848133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790848133 |
| Entity Type | Organization |
| Organization Name | VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC |
| Other Organization Name | ADVANCED IMAGING DIAGNOSTICS |
| Practice Address |
115 S Candy Ln Bldg. A Cottonwood AZ 86326-4105 |
| Mailing Address |
47 N French Dr Prescott AZ 86303-6247 |
| Practice Telephone | 9286499999 |
| Practice Fax Number | 9286490058 |
| Mailing Telephone | 9287781251 |
| Mailing Fax Number | 9287787834 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | JOHN C MOYER (MANAGER) |
| Authorized Official Telephone | 9287781251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
OTC2772 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 937071 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Imaging Diagnostics | Doing Business As Name - Organization |
| Street Address |
115 S CANDY LN BLDG. A |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104881952 | Lawrence Blumen | Specialist | 115 S Candy Ln, Cottonwood, AZ 86326-4188 | 2006-04-17 |
| 1619121423 | Laboratory Corporation of America | Clinical Medical Laboratory | 115 S Candy Ln, Ste B2, Cottonwood, AZ 86326-4105 | 2008-11-06 |
| 1659460814 | Grace E Jackson | Psychiatry & Neurology | 115 S Candy Ln, Suite C2, Cottonwood, AZ 86326-4105 | 2006-10-12 |
| 1215021431 | C. Dexter Hayes, Md, PC | Family Medicine | 115 S Candy Ln, Suite B2, Cottonwood, AZ 86326-4105 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
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| 1699390211 | Ew Breast Imaging LLC | Clinic/Center | 8896 E Becker Ln Ste 101, Scottsdale, AZ 85260-6281 | 2020-06-09 |
| 1023357563 | Carondelet Health Network | Clinic/Center | 4892 North Stone Avenue, Suite 180, Tucson, AZ 85704-5749 | 2013-02-04 |
| 1629345707 | Ben-ora, Hansen, & Vanesian Imaging | Clinic/Center | 11220 N Tatum Blvd Ste 105, Phoenix, AZ 85028-1629 | 2011-11-17 |
| 1548547029 | Ben-ora Hansen & Vanesian Imaging | Clinic/Center | 900 W Chandler Blvd, Suite A4, Chandler, AZ 85225-4907 | 2011-11-10 |
| 1720230824 | Mammography Partners LLC | Clinic/Center | 2840 W Ina Rd, #144, Tucson, AZ 85741-2587 | 2008-10-21 |
| 1316199482 | Mammography Partners LLC | Clinic/Center | 4232 E Cactus Rd Ste 214, Phoenix, AZ 85032-7615 | 2008-10-21 |
| 1407006737 | Mammography Partners LLC | Clinic/Center | 1200 N El Dorado Pl # H820, Tucson, AZ 85715-4637 | 2008-09-23 |
| 1871663260 | Carondelet Health Network | Clinic/Center | 395 North Silverbell Road, Suite 185, Tucson, AZ 85745-2675 | 2006-11-09 |
| 1215204383 | Ben-ora, Hansen & Vanesian Imaging | Clinic/Center | 5310 W Thunderbird Rd, #213, Glendale, AZ 85306-4706 | 2011-11-17 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
Please comment or provide details below to improve the information on VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC.
| 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.