| Arizona Imaging Specialists, LLC | |
|
727 E Bethany Home Rd Ste A106 Phoenix AZ 85014-2192 | |
| (602) 368-0458 | |
| Not Available |
| Full Name | Arizona Imaging Specialists, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 727 E Bethany Home Rd Ste A106, Phoenix, Arizona |
| Authorized Official Name and Position | Nicole Feigenbutz (TECHNICAL MANAGER) |
| Authorized Official Contact | 6023680458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Imaging Specialists, LLC 727 E Bethany Home Rd Ste A106 Phoenix AZ 85014-2192 Ph: (602) 368-0458 | Arizona Imaging Specialists, LLC 727 E Bethany Home Rd Ste A106 Phoenix AZ 85014-2192 Ph: (602) 368-0458 |
| NPI Number | 1568087187 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 0749699254 |
|---|---|
| Medicare Enrollment ID | O20210513002506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568087187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 293D00000X | Physiological Laboratory | () | Secondary |
| 335V00000X | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier | () | Secondary |
| Provider Name | Gabriel Stephen Ruiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649833732 PECOS PAC ID: 1456686047 Enrollment ID: I20250523002599 |
| Provider Name | Neil E Grey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932559630 PECOS PAC ID: 3375820343 Enrollment ID: I20260210002326 |
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