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Contact Information

ARIZONA INSTITURE OF MEDICINE & SURGERY
3636 STOCKTON HILL RD
KINGMAN, AZ86409
 Phone: 928-757-3680
 Fax: 928-757-3614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for ARIZONA INSTITURE OF MEDICINE & SURGERY

NPI # 1962657783
LBN Legal business name ARIZONA INSTITURE OF MEDICINE & SURGERY
Authorized official AZAM KHAN - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2008
Last updated 06/04/2018 - About 8 years ago
Identifiers
AZ License # 03D0534286
AZ License # OTC-0660
AZ Medicaid 167933
AZ Other OTC-0660 MEDICAL FACILITY LICENSING
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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