| Organization Name: | SOUTHWEST PET INSTITUTE, LLC |
| NPI Number: | 1033167598 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMI ALEXANDER (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 1951 W 25th St Suite G Yuma |
| State: | AZ US |
| Postal Code: | 853646925 |
| Phone Number: | 9283144800 |
| Fax Number: | 9283144833 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 12/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | OTC4028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |