Provider Demographics
NPI:1285968792
Name:AZ-TECH RADIOLOGY & OPEN MRI
Entity type:Organization
Organization Name:AZ-TECH RADIOLOGY & OPEN MRI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:B
Authorized Official - Last Name:KORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-889-1856
Mailing Address - Street 1:2653 W GUADALUPE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-7200
Mailing Address - Country:US
Mailing Address - Phone:480-889-3500
Mailing Address - Fax:480-889-3502
Practice Address - Street 1:1111 S STAPLEY DR
Practice Address - Street 2:SUITE 105
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5015
Practice Address - Country:US
Practice Address - Phone:480-835-0002
Practice Address - Fax:480-515-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty