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General NPI Number Information
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NPI Number | 1427001379
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Entity Type | Organization
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Legal Business Name | SUN HEALTH MRI CENTER
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 14420 W MEEKER BLVD SUITE 102
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-5286
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Country | US
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Telephone | 623-214-4004
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5430
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City | SUN CITY WEST
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State | AZ
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Zip | 85376-5430
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JO ADKINS
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Credential |
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Telephone | 623-214-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | OTC-3893
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License Number State | AZ
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