Healthcare Provider Details
I. General information
NPI: 1679329221
Provider Name (Legal Business Name): URPRECIOUS MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2024
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9300 E RAINTREE DR STE 130
SCOTTSDALE AZ
85260-7313
US
IV. Provider business mailing address
16838 S 15TH AVE
PHOENIX AZ
85045-0764
US
V. Phone/Fax
- Phone: 602-878-7501
- Fax: 480-685-9920
- Phone: 203-815-9863
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MEGHNA
KRISHNAN
Title or Position: RADIOLOGIST OWNER
Credential: MD
Phone: 203-815-9863