RADIANT MEDICAL IMAGING, LLC (NPI# 1891925582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891925582 |
| Entity Type | Organization |
| Organization Name | RADIANT MEDICAL IMAGING, LLC |
| Other Organization Name | MARQUIS DIAGNOSTIC IMAGING |
| Practice Address |
1760 E Pecos Rd Gilbert AZ 85295-3200 |
| Mailing Address |
Po Box 25010 Overland Park KS 66225-5010 |
| Practice Telephone | 4805538999 |
| Practice Fax Number | 4805538989 |
| Mailing Telephone | 9136424900 |
| Mailing Fax Number | 9133810979 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | MR. BRYAN BARKLEY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4802727771 |
| Authorized Official Credential | COO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DOL | 615758000 | 01 |
| AZ | BCBSAZ | 1891925582 | 01 |
| AZ | 447882 | 05 | |
| AZ | RR MEDICARE | DP5763 | 01 |
| Other Name | Type Code |
|---|---|
| Marquis Diagnostic Imaging | Doing Business As Name - Organization |
| Street Address |
1760 E PECOS RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194753848 | Michael Drew | Physical Therapist | 1760 E Pecos Rd, Ste. 207, Gilbert, AZ 85295-3200 | 2006-06-30 |
| 1811438351 | Passport Health Holdings, LLC | Preventive Medicine | 1760 E Pecos Rd, Ste 301, Gilbert, AZ 85295-3203 | 2017-03-16 |
| 1518354927 | Anjulie Broderick | Advanced Practice Midwife | 1760 E Pecos Rd, Ste 516, Gilbert, AZ 85295-3200 | 2015-04-23 |
| 1225462468 | Lahodas Pllc | Clinic/Center | 1760 E Pecos Rd, Suite #326, Gilbert, AZ 85295-3200 | 2013-08-23 |
| 1427319995 | Osna Pllc | Orthopaedic Surgery | 1760 E Pecos Rd, Ste 207, Gilbert, AZ 85295-3200 | 2012-05-31 |
| 1013280296 | Melissa R Peterson | Advanced Practice Midwife | 1760 E Pecos Rd, Suite 516, Gilbert, AZ 85295-3200 | 2012-02-17 |
| 1215248786 | Victoria Montgomery | Physical Therapist | 1760 E Pecos Rd, Gilbert, AZ 85295-3200 | 2010-06-29 |
| 1083842470 | Jekyung Jang | Music Therapist | 1760 E Pecos Rd, Suite 307, Gilbert, AZ 85295-3200 | 2009-06-24 |
| 1710114574 | Kimberly K Swift | Advanced Practice Midwife | 1760 E Pecos Rd, Ste 516, Gilbert, AZ 85295-3200 | 2009-06-18 |
| 1982839726 | Marquis Diagnostic Imaging, LLC | Radiology | 1760 E Pecos Rd, Gilbert, AZ 85295-3200 | 2009-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| 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 |
|---|---|---|---|---|
| 1295345783 | Susan Shotts | Radiology | 861 N Higley Rd Ste B101, Gilbert, AZ 85234-9602 | 2020-08-09 |
| 1467741025 | Hannah A Lawther | Radiology | 2940 E. Banner Gateway Drive, Suite 350, Gilbert, AZ 85234 | 2011-04-05 |
| 1356574537 | Smi Imaging, LLC | Radiology | 2680 S Val Vista Dr Bldg 7, Suite 135, Gilbert, AZ 85295-2152 | 2009-09-03 |
| 1730312901 | Smi Imaging, LLC | Radiology | 2450 E Guadalupe Rd Ste 109, Gilbert, AZ 85234-5116 | 2009-09-03 |
| 1003954322 | Georg Hernandez | Radiology | 4001 E Baseline Rd Ste 105, Gilbert, AZ 85234-2744 | 2007-02-01 |
| 1376689778 | Stephen J Adams | Radiology | 1719 E Indigo St, Gilbert, AZ 85298-3220 | 2007-01-30 |
| 1790710457 | Melissa Lee Dymond | Radiology | 1825 E Willow Tree Ct, Gilbert, AZ 85234-4933 | 2006-07-11 |
| 1427011014 | John Steven Davis | Radiology | 1900 N. Higley Road, Banner Gateway Medical Center, Gilbert, AZ 85234-1604 | 2006-04-06 |
| 1891784880 | Susan Passalaqua | Radiology | 2946 E Banner Gateway Dr., Gilbert, AZ 85234 | 2005-10-21 |
| 1295724011 | Marc S. Weinstein | Radiology | 1760 E Pecos Rd Ste 101, Gilbert, AZ 85295-3201 | 2005-10-14 |
| Find all providers in GILBERT | ||||
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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.