Organization Name: | SILVER CREEK MRI LLC |
NPI Number: | 1003094830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SOPHIA ARWOOD (DIRECTOR) |
Mailing Address: | 1245 Hancock Rd Suite B Bullhead City |
State: | AZ US |
Postal Code: | 864425940 |
Phone Number: | 9287048971 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2008 |
NPI Last Update Date: | 03/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |