APEX DIAGNOSTIC SERVICES, INC. (NPI# 1104982719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104982719 |
| Entity Type | Organization |
| Organization Name | APEX DIAGNOSTIC SERVICES, INC. |
| Practice Address |
1720 Mesquite Ave Lake Havasu City AZ 86403-5602 |
| Mailing Address |
5805 Doe Ave Las Vegas NV 89146-1209 |
| Practice Telephone | 9288551550 |
| Mailing Telephone | 7028701195 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | MS. TATYANA WHITE (PRESIDENT) |
| Authorized Official Telephone | 7028701195 |
| Is Organization Subpart | Y |
| Parent Organization Name | APEX DIAGNOSTIC SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS (AZ MEDICAID) | 934027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487943007 | Apex Diagnostic Services, Inc. | Internal Medicine | 14600 Goldenwest St, Suite A103, Westminster, CA 92683-5201 | 2011-04-05 |
| 1255518429 | Apex Diagnostic Services, Inc. | Radiology | 2725 S Jones Blvd, Suite 110, Las Vegas, NV 89146-5605 | 2008-01-30 |
| Street Address |
1720 MESQUITE AVE |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370975 | Theron C Tilgner D O LLC | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
| 1538338058 | Fps Medical Center Ltd | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2008-02-28 |
| 1609971076 | Philip Andre' St. Raymond | Urology | 1720 Mesquite Ave, Suite 100b, Lake Havasu City, AZ 86403-5602 | 2006-09-13 |
| 1871511295 | Jeffrey Jay Carls | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403 | 2006-07-17 |
| 1639110679 | Saul Alvarez | Respiratory Therapist, Certified | 1720 Mesquite Ave, #201, Lake Havasu City, AZ 86403 | 2006-06-09 |
| 1851338917 | Peter Dux | Emergency Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2006-05-31 |
| 1104895655 | Margaret B Holmes | Physician Assistant | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-16 |
| 1497724413 | Theron C Tilgner | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164986360 | Noor Ahmed Shah | Radiology | 1336 W Santa Maria Way, Yuma, AZ 85364-4442 | 2019-01-22 |
| 1972026896 | Peter Ebot Oben | Radiology | 6040 E Main St Ste 123, Mesa, AZ 85205-8928 | 2017-07-23 |
| 1659404176 | Portable X Ray of Arizona LLC | Radiology | 2338 W Royal Palm Rd, Phoenix, AZ 85021-9339 | 2007-03-13 |
| 1831114883 | Anouk Stein | Radiology | 4127 E Glenhaven Dr, Phoenix, AZ 85048-0527 | 2006-07-12 |
| 1861427817 | Sun City Mobile Diagnostic LLC | Radiology | 10728 N 154th Ln, Surprise, AZ 85379 | 2006-07-11 |
| 1558324269 | Harris Jay Finberg | Radiology | 3877 N 7th St, Suite 400, Phoenix, AZ 85014-5072 | 2006-04-11 |
| 1932764123 | Womens Ultrasound Services, LLC | Radiology | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7075 | 2019-05-03 |
| 1851889323 | Rapid Ultrasound LLC | Radiology | 1724 W 4th St, Tempe, AZ 85281-7620 | 2018-04-30 |
| 1104332147 | Vascular Imaging Solutions LLC | Radiology | 14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374-7280 | 2017-12-27 |
| 1891200143 | Thomas Hageman | Radiology | 14780 W Mountain View Blvd, Surprise, AZ 85374-4799 | 2017-12-08 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.