DESERT VALLEY RADIOLOGY, PLC


Address: 2225 W. Peoria Ave., Ste. 150, Phoenix, AZ 85029-4938
Phone: 6023955089

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 333218 05

Other Provider/Organization Names

Other Name Type Code
Desert Valley Radiology Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2225 W. PEORIA AVE.
STE. 150
City PHOENIX
State AZ
Zip Code 85029-4938

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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
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1609988203 Open Mri Solutions LLC Clinic/Center 4130 E Van Buren St, Suite 100, Phoenix, AZ 85008-6929 2006-08-31
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1790197358 Sxr Medical LLC Clinic/Center 3805 E Bell Rd, Suite 5500, Phoenix, AZ 85032-2105 2014-05-29
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1699091934 Pueblo Radiology, LLC Clinic/Center 5501 N 19th Ave, Suite 111, Phoenix, AZ 85015-2450 2010-04-12
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Competitor

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City PHOENIX
Zip Code 85029

Improve Information

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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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