| Organization Name: | SIERRA VISTA DIAGNOSTICS LLC |
| NPI Number: | 1104014257 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN I. WALSH (MANAGING PARTNER) |
| Mailing Address: | 155 Calle Portal Ste 500 Sierra Vista |
| State: | AZ US |
| Postal Code: | 856352973 |
| Phone Number: | 5204595227 |
| Fax Number: | 5204592191 |
| NPI Enumeration Date: | 10/12/2007 |
| NPI Last Update Date: | 12/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 9110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |