ARIZONA COAST RADIOLOGY, PLLC – NPI #1104064997
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

ARIZONA COAST RADIOLOGY, PLLC is a radiologist located in LAKE HAVASU CITY, AZ. NPPES has assigned the NPI number 1104064997 to ARIZONA COAST RADIOLOGY, PLLC on February 02, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARIZONA COAST RADIOLOGY, PLLC below.

NPI Profile for
ARIZONA COAST RADIOLOGY, PLLC

NPI Number
1104064997
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARIZONA COAST RADIOLOGY, PLLC
Primary location
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403-5607
Phone: (928) 412-7485 Fax:
Mailing address
2610 PATIO SIMPATICO
LAKE HAVASU CITY, AZ 86406-7789
Phone: (928) 412-7485 Fax:
Organization Subpart
No
Authorized Official
JACK DUNN
MEMBER
Phone: (928) 412-7485
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.