ARIZONA ADVANCED IMAGING CENTER LLC (NPI# 1124078431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124078431 |
Entity Type | Organization |
Organization Name | ARIZONA ADVANCED IMAGING CENTER LLC |
Practice Address |
4566 E Inverness Ave Suite 102 Mesa AZ 85206-4633 |
Mailing Address |
4566 E Inverness Ave Ste 102 Mesa AZ 85206-4633 |
Practice Telephone | 4803807718 |
Practice Fax Number | 4803087717 |
Mailing Telephone | 4803087718 |
Mailing Fax Number | 4803087717 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2019-02-20 |
Authorized Official Name | SEAN ZAHNISER (CEO) |
Authorized Official Telephone | 4803087718 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0200X |
Clinic/Center Specialization: Radiology |
OTC3591 | AZ | Ambulatory Health Care Facilities |
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
OTC3591 | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 858532 | 05 | |
AZ | RAILROAD MEDICARE | DC2759 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
600 S Dobson Rd Ste E42, Chandler, AZ 852245693 | 4803067008 | 4803067316 |
Street Address |
4566 E INVERNESS AVE SUITE 102 |
City | MESA |
State | AZ |
Zip Code | 85206-4633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215917463 | Gary Thomas Purcell | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 202, Mesa, AZ 85206-4633 | 2006-01-21 |
1346677242 | Gateway Physical Therapy LLC | Health Maintenance Organization | 4566 E Inverness Ave, Suite 103, Mesa, AZ 85206-4633 | 2013-10-09 |
1396028841 | Yeon Hee Park | Acupuncturist | 4566 E Inverness Ave, Suite 201, Mesa, AZ 85206-4633 | 2011-09-21 |
1235427709 | Desert Spine and Scoliosis Center | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 208, Mesa, AZ 85206-4633 | 2011-07-18 |
1265755375 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 108, Mesa, AZ 85206-4633 | 2010-03-03 |
1255567004 | Absolute Sleep Medical | Durable Medical Equipment & Medical Supplies | 4566 E Inverness Ave, Mesa, AZ 85206-4633 | 2009-06-08 |
1891976569 | Desert Neurosurgery, PC | Neurological Surgery | 4566 E Inverness Ave, Ste #208, Mesa, AZ 85206 | 2007-11-21 |
1891901088 | Southwest Center for Neurological Surgeons PC | Specialist | 4566 E Inverness Ave, 205, Mesa, AZ 85206-4633 | 2007-05-15 |
1194883223 | Rafath U Baig | Orthopaedic Surgery | 4566 E Inverness Ave, Suite 208, Mesa, AZ 85206-4633 | 2006-12-04 |
1427154442 | Southeast Valley Obstetrics & Gynecology Plc | Obstetrics & Gynecology | 4566 E Inverness Ave, Suite 202, Mesa, AZ 85206-4633 | 2006-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
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Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730619289 | Injury Imaging Solutions LLC | Clinic/Center | 1345 E Mckellips Rd Ste 103, Mesa, AZ 85203-2721 | 2017-06-18 |
1417091158 | Arista Imaging, LLC | Clinic/Center | 1345 E Mckellips Rd, Mesa, AZ 85203-2721 | 2007-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326522236 | Advanced Injury Care | Clinic/Center | 9820 E Thompson Peak Pkwy Unit 715, Scottsdale, AZ 85255-6657 | 2018-09-18 |
1356650105 | Desert Mri Lab LLC | Clinic/Center | 7340 E Calle Meridan, Tuscon, AZ 85710 | 2010-09-28 |
1982919411 | Alliance Healthcare Services Inc | Clinic/Center | 4520 E Grant Rd Ste 100, Tucson, AZ 85712-2637 | 2010-08-09 |
1356506240 | Insight Health Corp | Clinic/Center | 5040 N. 15th Ave, Suite 101, Phoenix, AZ 85015 | 2008-07-21 |
1003094830 | Silver Creek Mri LLC | Clinic/Center | 1245 Hancock Rd, Suite B, Bullhead City, AZ 86442-5940 | 2008-02-04 |
1457495095 | Arizona Community Physicians PC | Clinic/Center | 2191 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2007-02-16 |
1922141902 | Arizona Community Physician PC | Clinic/Center | 6270 E Grant Rd, Tucson, AZ 85712-5831 | 2007-02-15 |
1730132036 | Northwest Rancho Vistoso Imaging Services LLC | Clinic/Center | 1845 W Orange Grove, Tucson, AZ 85741 | 2006-05-18 |
1912524380 | Lakeside Orthopedic Institute, LLC | Clinic/Center | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2020-07-01 |
1730726365 | Arista Imaging, LLC | Clinic/Center | 3139 E Lincoln Dr, Phoenix, AZ 85016 | 2019-12-02 |
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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.