SCAN HEALTH IMAGING LLC (NPI# 1073817490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073817490 |
| Entity Type | Organization |
| Organization Name | SCAN HEALTH IMAGING LLC |
| Practice Address |
13943 N 91st Ave Suite 102 Peoria AZ 85381-3629 |
| Practice Telephone | 6238158200 |
| Practice Fax Number | 6233445458 |
| Mailing Telephone | 6238158200 |
| Mailing Fax Number | 6233445458 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | DR. MANNTEJ SRA (OWNER) |
| Authorized Official Telephone | 6238158200 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
28033 | AZ | Allopathic & Osteopathic Physicians |
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET PIN | 1Z8710 | 01 |
| AZ | 579394 | 05 |
| Street Address |
13943 N 91ST AVE SUITE 102 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174508162 | Wayne A Weissinger | Nurse Practitioner | 13943 N 91st Ave, #h-101, Peoria, AZ 85381-3629 | 2005-12-13 |
| 1497156152 | Sun Imaging Associates | Radiology | 13943 N 91st Ave, Suite A102, Peoria, AZ 85381-3629 | 2014-09-11 |
| 1578904652 | Sun Imaging Associates Plc | Radiology | 13943 N 91st Ave, Suite A-102, Peoria, AZ 85381-3629 | 2013-07-17 |
| 1588956361 | Melissa F Efron-everett | Dermatology | 13943 N 91st Ave, Suite C-101, Peoria, AZ 85381-3629 | 2011-05-11 |
| 1063739373 | Murli Raman Md Facc Pllc | Internal Medicine | 13943 N 91st Ave, Suite F101, Peoria, AZ 85381-3629 | 2010-04-26 |
| 1669703286 | Michelle L Jeffries | Dermatology | 13943 N 91st Ave, C-101, Peoria, AZ 85381-3629 | 2010-01-21 |
| 1609010883 | Amer Khan | Internal Medicine | 13943 N 91st Ave, Ste H101, Peoria, AZ 85381-3689 | 2009-05-01 |
| 1376798421 | Iain Alan Black | Physician Assistant | 13943 N 91st Ave, Building I, Peoria, AZ 85381-3629 | 2008-11-17 |
| 1063661023 | Phoenix Medical Group PC | Clinic/Center | 13943 N 91st Ave, Suite B104, Peoria, AZ 85381-3687 | 2008-09-15 |
| 1134309123 | Patrick L Dobash Dds PC | Dentist | 13943 N 91st Ave, Suite H-102, Peoria, AZ 85381-3689 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043604739 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4507 N Sterling Ave Ste 200, Peoria, IL 61615-3861 | 2015-03-20 |
| 1285873810 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9132 West Cactus Rd, Suite D, Peoria, AZ 85381-5131 | 2009-02-04 |
| 1386895084 | Mobile Diagnostic Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7930 N University St, Suite 101, Peoria, IL 61615-1802 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037255 | Sonography Solutions LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2311 Prairie Grass Dr, Sierra Vista, AZ 85635-7002 | 2020-09-15 |
| 1033683750 | Dmc Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 55 Lake Havasu Ave S Ste F142, Lake Havasu City, AZ 86403-0938 | 2019-01-15 |
| 1053813337 | Arizona Ultrasound Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5620 W Thunderbird Rd Ste C1, Glendale, AZ 85306-4639 | 2018-03-02 |
| 1487188025 | Select Consultants LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 745 E Raven Way, Gilbert, AZ 85297-1211 | 2017-04-19 |
| 1598219289 | Diagnostic Ultrasound Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3931 N Stockton Hill Rd Ste E, Kingman, AZ 86409-2426 | 2016-08-10 |
| 1659658169 | Radiexcel, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3060 S Nash Way, Chandler, AZ 85286-2482 | 2011-11-11 |
| 1194041988 | Arizona Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2655 W Guadalupe Rd Ste 31b, Mesa, AZ 85202-7245 | 2010-04-19 |
| 1851613764 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-02-18 |
| 1952536609 | Team Motion X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7000 N 16th St # 120-459, Phoenix, AZ 85020-5547 | 2009-05-26 |
| 1396988200 | Portable Diagnostic Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5534 W Riviera Dr, Glendale, AZ 85304-2700 | 2009-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.