Healthcare Provider Details
I. General information
NPI: 1922812221
Provider Name (Legal Business Name): HAPPY BEATS IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3101 N CENTRAL AVE STE 1832092
PHOENIX AZ
85012-2645
US
IV. Provider business mailing address
13241 W HUMMINGBIRD TER
PEORIA AZ
85383-1970
US
V. Phone/Fax
- Phone: 602-877-9337
- Fax:
- Phone:
- Fax:
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:
SRDJAN
MATOVIC
Title or Position: OWNER
Credential:
Phone: 332-330-3903