Healthcare Provider Details

I. General information

NPI: 1508081878
Provider Name (Legal Business Name): COMPUDIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8575 E PRINCESS DR SUITE 223
SCOTTSDALE AZ
85255-5483
US

IV. Provider business mailing address

10645 N TATUM BLVD STE 200-655
PHOENIX AZ
85028-3068
US

V. Phone/Fax

Practice location:
  • Phone: 480-998-9226
  • Fax:
Mailing address:
  • Phone: 480-998-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: DIANA NEUHARDT
Title or Position: PRESIDENT
Credential: R.V.T
Phone: 480-998-9226