TRINITY CARDIOVASCULAR IMAGING LLC (NPI# 1922524719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922524719 |
Entity Type | Organization |
Organization Name | TRINITY CARDIOVASCULAR IMAGING LLC |
Practice Address |
6040 E Main St Ste 123 Mesa AZ 85205-8928 |
Practice Telephone | (678) 857-0705 |
Mailing Telephone | 6788570705 |
Enumeration Date | 2017-08-14 |
Last Update Date | 2017-08-14 |
Authorized Official Name | MR. PETER OBEN (DIRECTOR/MANAGER) |
Authorized Official Telephone | 6788570705 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
70271 | AZ | Allopathic & Osteopathic Physicians |
Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
70271 | AZ | Technologists, Technicians & Other Technical Service Providers |
Street Address |
6040 E MAIN ST STE 123 |
City | MESA |
State | AZ |
Zip Code | 85205-8928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972026896 | Peter Ebot Oben | Radiology | 6040 E Main St Ste 123, Mesa, AZ 85205-8928 | 2017-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
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Taxonomy Code | 246XS1301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568978021 | David Silvestre | Spec/Tech, Cardiovascular | 5030 E Dover St, Mesa, AZ 85205-6418 | 2017-12-20 |
1326259904 | Ann Marie Reed | Spec/Tech, Cardiovascular | 1351 E Jensen St, Mesa, AZ 85203-3353 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1659813814 | American Diagnostic Imaging | Spec/Tech, Cardiovascular | 1120 S Dobson Rd Bldg B, Suite 200, Chandler, AZ 85286-6169 | 2016-11-04 |
1831644251 | Jason Kelly | Spec/Tech, Cardiovascular | 7012 E Nelson Dr, Tucson, AZ 85730-1718 | 2016-08-16 |
1679911556 | Rong Yang | Spec/Tech, Cardiovascular | 207 W Clarendon Ave, 10g, Phoenix, AZ 85013-3416 | 2013-06-12 |
1295886315 | Arizona Sonography Group Inc. | Spec/Tech, Cardiovascular | 1850 E Sheena Dr, Phoenix, AZ 85022-4532 | 2007-01-16 |
1093871063 | David Duane Kahlstorf | Spec/Tech, Cardiovascular | 1801 E Sheena Dr, Phoenix, AZ 85022-4533 | 2006-12-27 |
1487666566 | Sun Valley Ultrasound LLC | Spec/Tech, Cardiovascular | 15051 E San Blas Cir, Fountain Hills, AZ 85268-1618 | 2006-08-13 |
1942293089 | Douglas F Hoose | Spec/Tech, Cardiovascular | 22830 S 197th Way, Queen Creek, AZ 85242-8309 | 2005-08-24 |
1225595457 | Laki Lamar Syph | Spec/Tech, Cardiovascular | 5251 W Campbell Ave Ste 209, Phoenix, AZ 85031-1719 | 2019-02-24 |
1730562257 | Eleanor Glass | Spec/Tech, Cardiovascular | 13835 N Tatum Blvd, Suite 9-129, Phoenix, AZ 85032-5581 | 2015-07-01 |
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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.