CELLGENIX IMAGING SERVICES OF PHOENIX LLC


Address: 4540 E Cotton Gin Loop, Phoenix, AZ 85040-8887
Phone: 9492767155

CELLGENIX IMAGING SERVICES OF PHOENIX LLC (NPI# 1528219672) 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) 1528219672
Entity Type Organization
Organization Name CELLGENIX IMAGING SERVICES OF PHOENIX LLC
Practice Address 4540 E Cotton Gin Loop
Phoenix
AZ 85040-8887
Mailing Address 29222 Rancho Viejo Rd
Suite 101
San Juan Capistrano
CA 92675-1041
Practice Telephone 9492767155
Practice Fax Number 9492767158
Mailing Telephone 9492767155
Mailing Fax Number 9492767158
Enumeration Date 2008-10-07
Last Update Date 2009-11-11
Authorized Official Name MR. JIM CORLLETT (CEO)
Authorized Official Telephone 9492767155
Authorized Official Credential MBR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities

Office Location

Street Address 4540 E COTTON GIN LOOP
City PHOENIX
State AZ
Zip Code 85040-8887

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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85040

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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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