HIGH DESERT VEIN CENTER
NPI 1255601613
Radiology - Diagnostic Radiology in Kingman, AZ

Active since January 03, 2012
3439 SOUTHERN VISTA DR, KINGMAN, AZ 86401(928) 718-0180(928) 718-0181 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About High Desert Vein Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGH DESERT VEIN CENTER (NPI 1255601613) is a healthcare organization registered as a diagnostic radiology in Kingman, Arizona and active in the NPI registry since January 2012. The organization lists Kale D Bodily, President, as its authorized official.

NPPES Registry Identity

NPI1255601613
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameHIGH DESERT RADIOLOGY, P.C.
Location Address3439 SOUTHERN VISTA DRKingman, AZ 86401-0630
Mailing AddressP.o. Box 4148Kingman, AZ 86402-4148 · (928) 718-0180 · Fax (928) 718-0181
Fax(928) 718-0181
Organization SubpartNo
Authorized OfficialKale D BodilyPresident · (928) 757-0620
Enumeration DateJanuary 3, 2012
Last NPPES UpdateMarch 2, 2012
NPI 1255601613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AZ · 42974
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 42974 (AZ)
3439 SOUTHERN VISTA DR, Kingman, AZ 86401

Other Names 1

Doing Business AsHigh Desert Vein Center

Other Identifiers 2

Medicaid674865AZ
Other1562979-4AZ · Corporation File Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is High Desert Radiology, P.C.'s NPI number?

The NPI number for High Desert Radiology, P.C. is 1255601613. It was assigned to this organization in the NPPES registry on January 3, 2012. The provider is doing business as High Desert Vein Center.

Where is High Desert Radiology, P.C. located?

High Desert Radiology, P.C. is located at 3439 Southern Vista Dr, Kingman, AZ 86401. The listed phone number is (928) 718-0180.

What is High Desert Radiology, P.C.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for High Desert Radiology, P.C. was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.