Healthcare Provider Details
I. General information
NPI: 1245166230
Provider Name (Legal Business Name): AHF IMAGING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1313 E OSBORN RD STE 235
PHOENIX AZ
85014-5695
US
IV. Provider business mailing address
1313 E OSBORN RD STE 235
PHOENIX AZ
85014-5695
US
V. Phone/Fax
- Phone: 602-200-0437
- Fax: 602-806-6870
- Phone: 602-200-0437
- Fax: 602-806-6870
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JACOB
MICHAEL
SGRILLO
Title or Position: DIRECTOR OF IMAGING RELATIONS
Credential: RVS
Phone: 602-200-0437