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Kingman Radiology Associates LLC

Radiology, Diagnostic Radiology in Kingman, AZ. Organization (NPI-2).

NPI number1124357660
StatusActive
Last updated in NPPESDec 11, 2009

Details

NPI
1124357660
Entity type
Organization (NPI-2)
Legal business name
Kingman Radiology Associates LLC
Organization subpart
No
Enumeration date
Dec 11, 2009
Last updated
Dec 11, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

2110 Airway Ave
Kingman, AZ 86409-3652

Phone 928-681-1800

Mailing address

2110 Airway Ave
Kingman, AZ 86409-3652

Phone 928-681-1800

Authorized official

Max Lynn Terry
President
9286811800

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Diagnostic Radiology Physician providers in Kingman, AZ

All 10 Diagnostic Radiology Physician providers in Kingman · All 1,037 providers in Kingman

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