ADVANCED HEALTHCARE RESOURCES INC — NPI 1174674048 (Licensed & Credentialed Radiologic Technologist, Computed Tomography in PHOENIX, AZ)

CMS-1500 Box 24J / 33a • NPI

1174674048

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2471C3401X

Licensed & Credentialed Radiologic Technologist, Computed Tomography

Box 32 Service Location & ZIP+4

4212 N 16TH ST, ATTN CT SCANNER, PHOENIX, AZ, 85016-5319

✓ 9-Digit EDI 837 ZIP+4 (85016-5319)

Practice Phone & Referral Fax

(602) 263-1626

Fax: (602) 263-1627

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174674048 (ADVANCED HEALTHCARE RESOURCES INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174674048` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED HEALTHCARE RESOURCES INC
Plain-English Specialty	Licensed & Credentialed Radiologic Technologist, Computed Tomography NUCC Code: `2471C3401X` (Radiologic Technologist, Computed Tomography)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4212 N 16TH ST, ATTN CT SCANNER, PHOENIX, AZ, 85016-5319
Practice Telephone / Fax	Tel: (602) 263-1626 \| Fax: (602) 263-1627
Administrative Mailing Address	801 PHOENIX LAKE AVE, STREAMWOOD, IL, 60107-2363
Enumeration & Last Sync	Enumerated: 2007-01-16 \| CMS Record Updated: 2011-10-18
Authorized Official	RAYMOND STACHOWIAK (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4212 N 16TH ST, ATTN CT SCANNER, PHOENIX, AZ, 85016-5319

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Plain-English Taxonomy & CMS Crosswalk (2471C3401X)

What Does Taxonomy Code 2471C3401X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2471C3401X translates to:
"Licensed & Credentialed Radiologic Technologist, Computed Tomography"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiologic Technologist, Computed Tomography for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED HEALTHCARE RESOURCES INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2471C3401X` — Radiologic Technologist, Computed Tomography Plain English: Licensed & Credentialed Radiologic Technologist, Computed Tomography	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED HEALTHCARE RESOURCES INC (NPI #1174674048)