EAST VALLEY DIAGNOSTIC IMAGING LLC (NPI# 1164434098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164434098 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY DIAGNOSTIC IMAGING LLC |
| Other Organization Name | EVDI MEDICAL IMAGING, LLC |
| Practice Address |
1125 E. Southern Ave Ste 200 Mesa AZ 85204-5046 |
| Practice Telephone | 4805458119 |
| Practice Fax Number | 4809268332 |
| Mailing Telephone | 4805458119 |
| Mailing Fax Number | 4809268332 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | DEAN W. MARKS (ADMINISTRATOR) |
| Authorized Official Telephone | 4802728004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 585681 | 05 |
| Other Name | Type Code |
|---|---|
| EVDI Medical Imaging, LLC | Doing Business As Name - Organization |
| Street Address |
1125 E. SOUTHERN AVE STE 200 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148845 | Therma-scan Reference Laboratory, LLC | Clinic/Center | 6239 E Brown Rd Ste 101, Mesa, AZ 85205-4933 | 2020-06-09 |
| 1922250026 | Mammography Partners LLC | Clinic/Center | 560 W Brown Rd, #1001, Mesa, AZ 85201-3221 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390211 | Ew Breast Imaging LLC | Clinic/Center | 8896 E Becker Ln Ste 101, Scottsdale, AZ 85260-6281 | 2020-06-09 |
| 1023357563 | Carondelet Health Network | Clinic/Center | 4892 North Stone Avenue, Suite 180, Tucson, AZ 85704-5749 | 2013-02-04 |
| 1629345707 | Ben-ora, Hansen, & Vanesian Imaging | Clinic/Center | 11220 N Tatum Blvd Ste 105, Phoenix, AZ 85028-1629 | 2011-11-17 |
| 1548547029 | Ben-ora Hansen & Vanesian Imaging | Clinic/Center | 900 W Chandler Blvd, Suite A4, Chandler, AZ 85225-4907 | 2011-11-10 |
| 1720230824 | Mammography Partners LLC | Clinic/Center | 2840 W Ina Rd, #144, Tucson, AZ 85741-2587 | 2008-10-21 |
| 1316199482 | Mammography Partners LLC | Clinic/Center | 4232 E Cactus Rd Ste 214, Phoenix, AZ 85032-7615 | 2008-10-21 |
| 1407006737 | Mammography Partners LLC | Clinic/Center | 1200 N El Dorado Pl # H820, Tucson, AZ 85715-4637 | 2008-09-23 |
| 1871663260 | Carondelet Health Network | Clinic/Center | 395 North Silverbell Road, Suite 185, Tucson, AZ 85745-2675 | 2006-11-09 |
| 1215204383 | Ben-ora, Hansen & Vanesian Imaging | Clinic/Center | 5310 W Thunderbird Rd, #213, Glendale, AZ 85306-4706 | 2011-11-17 |
| 1952678039 | Ben-ora, Hansen & Vanesian Imaging | Clinic/Center | 13065 W Mcdowell Rd, #a105, Avondale, AZ 85392-6439 | 2011-11-17 |
| Find all providers with the same taxonomy | ||||
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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.