{
  "npi": "1174674048",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RAYMOND",
    "authorized_official_last_name": "STACHOWIAK",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6304833980",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2007-01-16",
    "last_updated": "2011-10-18",
    "organization_name": "ADVANCED HEALTHCARE RESOURCES INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4212 N 16TH ST",
      "address_2": "ATTN CT SCANNER",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PHOENIX",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "602-263-1627",
      "postal_code": "850165319",
      "state": "AZ",
      "telephone_number": "602-263-1626"
    },
    {
      "address_1": "801 PHOENIX LAKE AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "STREAMWOOD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "630-483-3986",
      "postal_code": "601072363",
      "state": "IL",
      "telephone_number": "630-483-3980"
    }
  ],
  "taxonomies": [
    {
      "code": "2471C3401X",
      "desc": "Radiologic Technologist, Computed Tomography",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Radiologic Technologist, Computed Tomography",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}