Healthcare Provider Details

I. General information

NPI: 1851216139
Provider Name (Legal Business Name): EXCEL THERANOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8573 E PRINCESS DR # B115
SCOTTSDALE AZ
85255-7819
US

IV. Provider business mailing address

11138 DEL AMO BLVD # 455
LAKEWOOD CA
90715-1103
US

V. Phone/Fax

Practice location:
  • Phone: 800-550-3194
  • Fax: 714-232-8553
Mailing address:
  • Phone: 800-550-3194
  • Fax: 714-232-8553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZAMAN JAVAHERI
Title or Position: PHYSICIAN
Credential: MD
Phone: 949-290-8546