Provider Demographics
NPI:1730166539
Name:VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:VHS ARIZONA IMAGING CENTERS LIMITED PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PARAMVIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:TULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-899-4661
Mailing Address - Street 1:1343 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5941
Mailing Address - Country:US
Mailing Address - Phone:480-889-4661
Mailing Address - Fax:480-889-0177
Practice Address - Street 1:1351 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 115
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5936
Practice Address - Country:US
Practice Address - Phone:480-889-4661
Practice Address - Fax:480-889-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC 41382085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ574948Medicaid
AZ574948Medicaid