PORTABLE X RAY OF ARIZONA LLC (NPI# 1659404176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659404176 |
| Entity Type | Organization |
| Organization Name | PORTABLE X RAY OF ARIZONA LLC |
| Practice Address |
2338 W Royal Palm Rd Phoenix AZ 85021-9339 |
| Mailing Address |
5538 Duncan Dr Las Vegas NV 89130-2812 |
| Practice Telephone | 6028643656 |
| Practice Fax Number | 6028643660 |
| Mailing Telephone | 7023955011 |
| Mailing Fax Number | 7026452874 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | ABBY GROSSA (CFO) |
| Authorized Official Telephone | 7023955011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | SCAN | 67270 | 01 |
| AZ | PHOENIX HEALTH PLAN | F10081 | 01 |
| AZ | HEALTH NET | 2Z1598 | 01 |
| AZ | BLUE CROSS BLUE SHILED OF | AZ0890990 | 01 |
| AZ | HEALTHNET | AW2888 | 01 |
| AZ | 579055 | 05 | |
| AZ | HEALTHCHOICE | 579055 | 01 |
| AZ | AHCCS | 579055 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336234772 | Portable X Ray of Arizona LLC | Clinic/Center | 2338 West Royal Palm Drive, Phoenix, AZ 85021 | 2006-10-03 |
| Street Address |
2338 W ROYAL PALM RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-9339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053615021 | Arizona Interventional Medical Group PC | Radiology | 2338 W Royal Palm Rd, Suite J, Phoenix, AZ 85021-9339 | 2011-01-05 |
| 1215187570 | Portable Imaging of Arizona, LLC | Clinic/Center | 2338 W Royal Palm Rd, Suite A, Phoenix, AZ 85021-9339 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831114883 | Anouk Stein | Radiology | 4127 E Glenhaven Dr, Phoenix, AZ 85048-0527 | 2006-07-12 |
| 1558324269 | Harris Jay Finberg | Radiology | 3877 N 7th St, Suite 400, Phoenix, AZ 85014-5072 | 2006-04-11 |
| 1992017529 | Kan-di-ki LLC | Radiology | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164986360 | Noor Ahmed Shah | Radiology | 1336 W Santa Maria Way, Yuma, AZ 85364-4442 | 2019-01-22 |
| 1972026896 | Peter Ebot Oben | Radiology | 6040 E Main St Ste 123, Mesa, AZ 85205-8928 | 2017-07-23 |
| 1861427817 | Sun City Mobile Diagnostic LLC | Radiology | 10728 N 154th Ln, Surprise, AZ 85379 | 2006-07-11 |
| 1932764123 | Womens Ultrasound Services, LLC | Radiology | 5111 N Scottsdale Rd Ste 150, Scottsdale, AZ 85250-7075 | 2019-05-03 |
| 1851889323 | Rapid Ultrasound LLC | Radiology | 1724 W 4th St, Tempe, AZ 85281-7620 | 2018-04-30 |
| 1104332147 | Vascular Imaging Solutions LLC | Radiology | 14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374-7280 | 2017-12-27 |
| 1891200143 | Thomas Hageman | Radiology | 14780 W Mountain View Blvd, Surprise, AZ 85374-4799 | 2017-12-08 |
| 1922524719 | Trinity Cardiovascular Imaging LLC | Radiology | 6040 E Main St Ste 123, Mesa, AZ 85205-8928 | 2017-08-14 |
| 1437575776 | Az Imaging, LLC | Radiology | 20118 N 67th Ave, Suite 300-616, Glendale, AZ 85308-4621 | 2014-03-11 |
| 1053633453 | Integrated Diagnostic Solutions | Radiology | 6929 N Hayden Rd, C4-220, Scottsdale, AZ 85250-7978 | 2010-02-25 |
| 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.