ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC (NPI# 1528566890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528566890 |
| Entity Type | Organization |
| Organization Name | ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC |
| Other Organization Name | ASSURED IMAGING WOMEN'S WELLNESS |
| Practice Address |
4008 Vista Rd. Bldg B Suite B101 Pasadena TX 77504 |
| Mailing Address |
7717 N Hartman Ln Tucson AZ 85743-5800 |
| Practice Telephone | 8882336121 |
| Mailing Telephone | 8882336121 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | JIN KIM (CEO) |
| Authorized Official Telephone | 3127748828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0207X |
Clinic/Center Specialization: Radiology, Mobile Mammography |
Ambulatory Health Care Facilities | ||
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Assured Imaging Women's Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790933828 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Radiology | 1400 Main St. Sw Suite K, Los Lunas, NM 87031 | 2008-09-03 |
| 1932245974 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 7717 N Hartman Ln, Tucson, AZ 85743-9506 | 2007-01-29 |
| Street Address |
4008 VISTA RD. BLDG B SUITE B101 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| 1417368929 | Jessica Charlene Engstrom | Specialist/Technologist | 14515 Briarhills Parkway, Houston, TX 77504 | 2014-05-19 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408465 | Open System Mri LLC | Radiology | 747 E Union St, Pasadena, CA 91101-1837 | 2017-03-23 |
| 1912145624 | Anne Arundel Mri LLC | Radiology | 8026 Ritchie Hwy, Pasadena, MD 21122-1084 | 2009-02-03 |
| 1699973107 | Victoria Yiu-chiu | Radiology | 1600 Glen Oaks Blvd, Pasadena, CA 91105-1011 | 2007-07-05 |
| 1437377603 | Harvey Anton Pollack | Radiology | 184 Virginia Ave, Pasadena, CA 91107-4848 | 2007-04-23 |
| 1316163942 | Tan Minh Nguyen | Radiology | 273 E Glenarm St Apt 8, Pasadena, CA 91106-4239 | 2007-04-18 |
| 1215068796 | Andrew Ekansh Gomes | Radiology | 3412 Burke Rd, Pasadena, TX 77504-1805 | 2007-03-08 |
| 1821187410 | Una L. Morris | Radiology | 333 S Fair Oaks Ave, Pasadena, CA 91105-2541 | 2006-10-12 |
| 1225138936 | January Kim Lopez | Radiology | Dept La 21555, Pasadena, CA 91185-1555 | 2006-09-23 |
| 1699793141 | Open System Mri II Ltd | Radiology | 747 Union St, Pasadena, CA 91101 | 2006-07-17 |
| 1518997220 | Aram Naraghi Salem | Radiology | File 1645, Pasadena, CA 91199-1645 | 2006-07-05 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC.
| 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.