| Medirad, LLC | |
|
12425 W Bell Rd Suite 200 Surprise AZ 85378-9006 | |
| (623) 374-7774 | |
| (623) 240-1110 |
| Full Name | Medirad, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 12425 W Bell Rd, Surprise, Arizona |
| Authorized Official Name and Position | Linh C Nguyen (CMIO/CEO) |
| Authorized Official Contact | 6233747774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medirad, LLC 12425 W Bell Rd Suite 200 Surprise AZ 85378-9006 Ph: (623) 374-7774 | Medirad, LLC 12425 W Bell Rd Suite 200 Surprise AZ 85378-9006 Ph: (623) 374-7774 |
| NPI Number | 1467731885 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 09/11/2020 |
| Certification Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467731885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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