MEDICAL DIAGNOSTIC CENTER INC (NPI# 1114082120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114082120 |
Entity Type | Organization |
Organization Name | MEDICAL DIAGNOSTIC CENTER INC |
Practice Address |
16601 N 40th St Suite 129 Phoenix AZ 85032-3345 |
Practice Telephone | 6022566555 |
Practice Fax Number | 6022567555 |
Mailing Telephone | 6022566555 |
Mailing Fax Number | 6022567555 |
Enumeration Date | 2006-12-27 |
Last Update Date | 2009-04-02 |
Authorized Official Name | HOVHANNES T KARAGEZYAN (DIRECTOR) |
Authorized Official Telephone | 6022566555 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AHCCCS PROVIDER ID | 128136 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144498387 | Medical Diagnostic Center Inc | Radiology | 1020 E Palmdale St, Suite 150, Tucson, AZ 85714-3309 | 2008-02-11 |
Street Address |
16601 N 40TH ST SUITE 129 |
City | PHOENIX |
State | AZ |
Zip Code | 85032-3345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588666721 | All At Home Health Care LLC | Home Health | 16601 N 40th St, Suite 110, Phoenix, AZ 85032-3345 | 2005-06-01 |
1427428499 | Barrett Medical Consultng, Pa | Podiatrist | 16601 N 40th St, Suite 110, Phoenix, AZ 85032-3345 | 2015-10-02 |
1376923680 | Innovative Neuropathy Treatment Institute, Pllc | Otolaryngology | 16601 N 40th St, Suite 110, Phoenix, AZ 85032-3345 | 2015-06-02 |
1801286422 | Pain Free, LLC | Durable Medical Equipment & Medical Supplies | 16601 N 40th St, Suite 118, Phoenix, AZ 85032-3345 | 2015-02-03 |
1326462888 | All At Home Care Solutions, LLC | Home Health | 16601 N 40th St, #202, Phoenix, AZ 85032-3345 | 2014-02-04 |
1578994323 | Bfai, LLC | Podiatrist | 16601 N 40th St, Suite 118, Phoenix, AZ 85032-3345 | 2013-12-04 |
1629401005 | Jim Degiuli | Acupuncturist | 16601 N 40th St, Suite 125, Phoenix, AZ 85032-3345 | 2013-08-20 |
1003160748 | Perry Cooper | Acupuncturist | 16601 N 40th St, Suite 125, Phoenix, AZ 85032-3345 | 2012-11-02 |
1023364858 | Blue Serenity Acupuncture LLC | Acupuncturist | 16601 N 40th St, Suite 125, Phoenix, AZ 85032-3345 | 2012-07-30 |
1285964254 | Jan Katzen-luchenta | Nutritionist | 16601 N 40th St, Jordan Developmental Pediatrics Suite 118, Phoenix, AZ 85032-3345 | 2010-01-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
Find all providers in zip 85032 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740634278 | Lonestar Diagnostics, LLC | Specialist/Technologist, Other | 530 E Mcdowell Rd Ste 107, #510, Phoenix, AZ 85004-1500 | 2016-04-21 |
1275801466 | Ryan Yetter | Specialist/Technologist, Other | 3310 E Fremont Rd, Phoenix, AZ 85042-6119 | 2011-12-02 |
1366760456 | Neurological Diagnostic Center of Phoenix Inc | Specialist/Technologist, Other | 8616 N 35th Ave, Ste 1a, Phoenix, AZ 85051-3813 | 2010-05-13 |
1932434347 | Medical Diagnostic Centers, Inc. | Specialist/Technologist, Other | 16601 N 40th St Ste 129, Phoenix, AZ 85032-3355 | 2009-10-03 |
1083868954 | Christopher Nonso Egbunike Jr. | Specialist/Technologist, Other | 2926 W Granada Rd, Phoenix, AZ 85009-2572 | 2008-11-05 |
1144419995 | Daniel T. Cocks | Specialist/Technologist, Other | 111 N Dupont Cir, Phoenix, AZ 85034-1803 | 2007-10-17 |
1255857017 | Laura Kaseman | Specialist/Technologist, Other | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2017-08-14 |
1568835866 | Arizona Health Associates LLC | Specialist/Technologist, Other | 1635 E Myrtle Ave, Suite 400, Phoenix, AZ 85020-5556 | 2015-11-09 |
1356727358 | Cynapse, Pllc | Specialist/Technologist, Other | 9225 N 3rd St, Ste 100, Phoenix, AZ 85020-2439 | 2015-08-03 |
1164840401 | Eileen Mary Shustak | Specialist/Technologist, Other | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2014-04-03 |
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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.