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P.E.T. Scan Arizona LLC

Radiology Clinic/Center in Phoenix, AZ · enumerated 2005 · authorized official Terry Brown, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083616569

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Registry record

Entity type Organization (Type 2)
Legal business name P.E.T. Scan Arizona LLC
Practice address 6036 N 19th Ave, Suite 305, Phoenix, AZ, 85015
Fax (602) 589-0816
Enumeration date Aug 15, 2005
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Terry Brown
Title Executive Director

Other identifiers

Identifier Type State Issuer
1083616569 Other - NPI
555386 Medicaid AZ -
AZ0891570 Other AZ BCBS AZ
1Z7140 Other AZ HEALTH NET

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is P.E.T. Scan Arizona LLC located?
The practice location on file with NPPES is in Phoenix, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.