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Contact Information

SUNRISE MEDICAL DIAGNOSTIC, INC
12611 N 103RD AVE
STE # G
SUN CITY, AZ85351-3422
 Phone: 623-972-4125
 Fax: 623-972-0265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for SUNRISE MEDICAL DIAGNOSTIC, INC

NPI # 1609834159
LBN Legal business name SUNRISE MEDICAL DIAGNOSTIC, INC
Authorized official MARINA KOKHAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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