Healthcare Provider Details

I. General information

NPI: 1235108614
Provider Name (Legal Business Name): QUESTAR TUCSON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10425 N ORACLE RD SUITE 155
TUCSON AZ
85737-9357
US

IV. Provider business mailing address

10425 N ORACLE RD SUITE 155
TUCSON AZ
85737-9357
US

V. Phone/Fax

Practice location:
  • Phone: 520-498-4899
  • Fax: 520-575-7122
Mailing address:
  • Phone: 520-498-4899
  • Fax: 520-575-7122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAGDALENA KENON
Title or Position: DIRECTOR
Credential:
Phone: 520-498-4899