Organization · Type 2 NPI

Surgical Specialty Imaging LLC

Physiological Laboratory · Phoenix, AZ

NPI number 1669520268 Active

Practice location

6501 N 19th Ave, Ste A
Phoenix, AZ 85015-1646

Call (602) 314-4280 Map

Fax (602) 314-4289

Mailing address

26250 Enterprise Ct, Ste 100
Lake Forest, CA 92630-8406

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XNone listed

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

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About NPI 1669520268

Surgical Specialty Imaging LLC's National Provider Identifier is 1669520268, issued on Jan 8, 2007. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2020.