Healthcare Provider Details

I. General information

NPI: 1265292874
Provider Name (Legal Business Name): PREMIER MRI CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 E SOUTHERN AVE STE 103
TEMPE AZ
85282-7523
US

IV. Provider business mailing address

1950 E SOUTHERN AVE STE 103
TEMPE AZ
85282-7523
US

V. Phone/Fax

Practice location:
  • Phone: 888-488-2702
  • Fax: 888-235-9876
Mailing address:
  • Phone: 888-488-2702
  • Fax: 888-235-9876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DEEPAK NARANG
Title or Position: OWNER
Credential:
Phone: 888-488-2702