DESERT VALLEY RADIOLOGY, PLC (NPI# 1962590851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962590851 |
Entity Type | Organization |
Organization Name | DESERT VALLEY RADIOLOGY, PLC |
Other Organization Name | DESERT VALLEY RADIOLOGY |
Practice Address |
2225 W. Peoria Ave. Ste. 150 Phoenix AZ 85029-4938 |
Mailing Address |
4045 E. Bell Rd. Ste. 143 Phoenix AZ 85032-2245 |
Practice Telephone | 6023955089 |
Practice Fax Number | 6023953335 |
Mailing Telephone | 6028670404 |
Mailing Fax Number | 6027880893 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2011-03-08 |
Authorized Official Name | WILLIAM J WALL III (PRESIDENT) |
Authorized Official Telephone | 6028670404 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 333218 | 05 |
Other Name | Type Code |
---|---|
Desert Valley Radiology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558459438 | Desert Valley Radiology, Plc | Clinic/Center | 8380 S. Kyrene, Ste. 105, Tempe, AZ 85284-2120 | 2006-10-10 |
1649368515 | Desert Valley Radiology, Plc | Clinic/Center | 5424 E. Southern Ave., Ste. 101, Mesa, AZ 85206-3621 | 2006-10-10 |
1447344197 | Desert Valley Radiology, Plc | Clinic/Center | 9150 W. Indian School Rd., Ste. 136, Phoenix, AZ 85037-1904 | 2006-10-03 |
1841243037 | Desert Valley Radiology, Plc | Radiology | 4045 E Bell Rd, Ste. #143, Phoenix, AZ 85032-2236 | 2006-05-18 |
Street Address |
2225 W. PEORIA AVE. STE. 150 |
City | PHOENIX |
State | AZ |
Zip Code | 85029-4938 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
Find all providers in zip 85029 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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---|---|---|---|---|
1124552120 | Smi Imaging, LLC | Clinic/Center | 2502 E Camelback Rd, 160, Phoenix, AZ 85016-4254 | 2017-04-17 |
1285809004 | University Imaging LLC | Clinic/Center | 6120 N 16th St, Phoenix, AZ 85016-1705 | 2008-04-23 |
1609988203 | Open Mri Solutions LLC | Clinic/Center | 4130 E Van Buren St, Suite 100, Phoenix, AZ 85008-6929 | 2006-08-31 |
1114995875 | Medical Imagery North LLC | Clinic/Center | 21031 N Cave Creek Rd, Suite F4, Phoenix, AZ 85024-5525 | 2006-03-09 |
1982149977 | Smi Imaging, LLC | Clinic/Center | 2620 N 3rd St, Suite 101, Phoenix, AZ 85004-1153 | 2016-12-29 |
1033596770 | Smi Imaging, LLC | Clinic/Center | 6707 N 19th Ave, Suite 101, Phoenix, AZ 85015-1104 | 2015-05-01 |
1790197358 | Sxr Medical LLC | Clinic/Center | 3805 E Bell Rd, Suite 5500, Phoenix, AZ 85032-2105 | 2014-05-29 |
1407286354 | The Vhs Arizona Imaging Centers, Lp | Clinic/Center | 6120 N 16th St, Phoenix, AZ 85016-1705 | 2013-11-13 |
1699091934 | Pueblo Radiology, LLC | Clinic/Center | 5501 N 19th Ave, Suite 111, Phoenix, AZ 85015-2450 | 2010-04-12 |
1134362551 | Marla R. Lander Md Professional Corp | Clinic/Center | 1313 E Osborn Rd, Ste. 213, Phoenix, AZ 85014-5678 | 2009-04-15 |
Find all providers in PHOENIX |
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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.