Healthcare Provider Details

I. General information

NPI: 1992629877
Provider Name (Legal Business Name): SCOTTSDALE RADIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20159 N SCOTTSDALE RD STE 150
SCOTTSDALE AZ
85255-0060
US

IV. Provider business mailing address

20159 N SCOTTSDALE RD STE 150
SCOTTSDALE AZ
85255-0060
US

V. Phone/Fax

Practice location:
  • Phone: 918-888-8080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: TREY MARLER
Title or Position: MANAGER
Credential:
Phone: 918-879-6161