CHOICE MEDICAL IMAGING OF ARIZONA, LLC (NPI# 1326344375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326344375 |
| Entity Type | Organization |
| Organization Name | CHOICE MEDICAL IMAGING OF ARIZONA, LLC |
| Practice Address |
2919 S Ellsworth Rd Suite 101 Mesa AZ 85212-2164 |
| Mailing Address |
Po Box 1169 Rockland ME 04841-1169 |
| Practice Telephone | 4803589500 |
| Practice Fax Number | 4803589525 |
| Mailing Telephone | 2075937501 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2013-08-23 |
| Authorized Official Name | MR. MARTIN FARRELL (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2075937501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
OTC5014 | AZ | Ambulatory Health Care Facilities |
| Street Address |
2919 S ELLSWORTH RD SUITE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502862 | Gabriel U. Ogbonnaya | Internal Medicine | 2919 S Ellsworth Rd, Suite # 124, Mesa, AZ 85212-2164 | 2005-07-21 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1912331158 | Southwest Spine & Rehab Pllc | Chiropractor | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2013-08-23 |
| 1225381999 | Amy Lynn Wagner | Naturopath | 2919 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2164 | 2012-10-18 |
| 1023381340 | Scott Alexander Taylor | Chiropractor | 2919 S Ellsworth Rd, 102, Mesa, AZ 85212-2164 | 2012-02-16 |
| 1881928273 | Kate Ashley Maine | Physician Assistant | 2919 S Ellsworth Rd, Mesa, AZ 85212-2164 | 2009-10-01 |
| 1710148663 | Custom Smile LLC | Dentist | 2919 S Ellsworth Rd, Suite 141, Mesa, AZ 85212-2164 | 2008-06-23 |
| 1508024175 | Aimee Lynn Hada | Physician Assistant | 2919 S Ellsworth Rd, Ste. 124, Mesa, AZ 85212-2164 | 2008-05-29 |
| 1003089301 | Kristy K Brown | Speech-Language Pathologist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| 1003089384 | Deborah A Mordhorst | Physical Therapist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704610 | Imaging Advanced Consultants LLC | Clinic/Center | 4566 E Inverness Ave Ste 102, Mesa, AZ 85206-4633 | 2018-09-20 |
| 1265569651 | Choice Medical Imaging Inc | Clinic/Center | 2919 S Ellsworth Rd Ste 101, Mesa, AZ 85212-2165 | 2007-02-27 |
| 1649368515 | Desert Valley Radiology, Plc | Clinic/Center | 5424 E. Southern Ave., Ste. 101, Mesa, AZ 85206-3621 | 2006-10-10 |
| 1164434098 | East Valley Diagnostic Imaging LLC | Clinic/Center | 1125 E. Southern Ave, Ste 200, Mesa, AZ 85204-5046 | 2006-08-12 |
| 1639133663 | Arizona Diagnostic Imaging | Clinic/Center | 456 N Mesa Dr, Mesa, AZ 85201-5913 | 2006-04-14 |
| 1568426518 | Center for Oupatient Imaging, L.L.C. | Clinic/Center | 1425 S Greenfield Rd, Suite 102, Mesa, AZ 85206-5505 | 2006-04-14 |
| 1629292479 | Lonestar Diagnostic | Clinic/Center | 456 N Mesa Dr, Mesa, AZ 85201-5913 | 2007-04-12 |
| 1780696609 | Associated Radiologists Ltd | Clinic/Center | 1125 E Southern Ave, Suite 200, Mesa, AZ 85204-5045 | 2006-08-12 |
| 1568474401 | Desert Open Mri LLC | Clinic/Center | 1125 E Southern Ave, Suite 200, Mesa, AZ 85204-5045 | 2006-08-12 |
| 1124078431 | Arizona Advanced Imaging Center LLC | Clinic/Center | 4566 E Inverness Ave, Suite 102, Mesa, AZ 85206-4633 | 2006-05-10 |
| Find all providers in MESA | ||||
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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.