ADVANCED IMAGING DIAGNOSTICS
NPI 1790848133
Clinic/Center - Radiology, Mammography in Cottonwood, AZ

NPI Status: Active since December 18, 2006

Contact Information

115 S CANDY LN
BLDG. A
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 649-9999
Fax: (928) 649-0058

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  • Organization
  • Clinic/Center
  • Radiology, Mammography
  • Accepts Insurance

About ADVANCED IMAGING DIAGNOSTICS

This page provides the complete NPI Profile along with additional information for Advanced Imaging Diagnostics, a provider established in Cottonwood, Arizona operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1790848133 assigned on December 2006. The practitioner's primary taxonomy code is 261QR0206X with license number OTC2772 (AZ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Advanced Imaging Diagnostics. The authorized official of this NPI record is John C Moyer (Manager)

NPI
1790848133
Provider Legal Name
VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC
Other Organization Name
ADVANCED IMAGING DIAGNOSTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
115 S CANDY LN BLDG. A COTTONWOOD, AZ 86326
Location Phone
(928) 649-9999
Location Fax
(928) 649-0058
Mailing Address
47 N FRENCH DR PRESCOTT, AZ 86303
Mailing Phone
(928) 778-1251
Mailing Fax
(928) 649-0058
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2006
Last Update Date
10-31-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology, Mammography

Taxonomy Code
261QR0206X
Type
Ambulatory Health Care Facilities
License No.
OTC2772
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN C MOYER

Authorized Official Title
MANAGER
Authorized Official Phone
(928) 778-1251

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
937071MEDICAID (05)AZ 
Z64560MEDICARE ID-TYPE UNSPECIFIED (04)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790848133
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801641616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 4 + 1 + 6 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1790848133 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104881952DR. LAWRENCE BLUMEN MD
Individual
Specialist115 S CANDY LN
COTTONWOOD, AZ 86326
(928) 639-3300
1619121423LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory115 S CANDY LN STE B2
COTTONWOOD, AZ 86326
(928) 634-0495
1215021431C. DEXTER HAYES, MD, PC
Organization
Family Medicine115 S CANDY LN SUITE B2
COTTONWOOD, AZ 86326
(928) 649-0649
1659460814 GRACE E JACKSON MD
Individual
Psychiatry & Neurology (Psychiatry)115 S CANDY LN SUITE C2
COTTONWOOD, AZ 86326
(928) 649-6736
1982748794MS. KAREN SUE NAY MFTI
Individual
Marriage & Family Therapist115 S CANDY LN
COTTONWOOD, AZ 86326
(602) 358-7073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790848133, enumerated in the NPI registry as an "organization" on December 18, 2006

The provider is located at 115 S Candy Ln Bldg. A Cottonwood, Az 86326 and the phone number is (928) 649-9999

This medical organization specializes in Clinic/Center with taxonomy code 261QR0206X with a focus in Radiology, Mammography

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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