Organization · NPI-2

Advanced Healthcare Resources INC

Radiologic Technologist, Computed Tomography · Phoenix, AZ

NPI number1174674048
StatusActive
Last updated in NPPESOct 18, 2011

Details

NPI
1174674048
Entity type
Organization (NPI-2)
Legal business name
Advanced Healthcare Resources INC
Organization subpart
No
Enumeration date
Jan 16, 2007
Last updated
Oct 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471C3401X Radiologic Technologist, Computed Tomography––Yes

Practice location

4212 N 16th St
Attn Ct Scanner
Phoenix, AZ 85016-5319

Phone 602-263-1626 · Fax 602-263-1627

Mailing address

801 Phoenix Lake Ave
Streamwood, IL 60107-2363

Phone 630-483-3980 · Fax 630-483-3986

Authorized official

Raymond Stachowiak
President
6304833980

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