Organization Active NPI

Cornerstone Mobile Imaging

  • Mobile Radiology Clinic/Center
  • Peoria, AZ
National Provider Identifier
1003255258
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
L18367038 Issued in AZ
Legal business name
CORNERSTONE MOBILE IMAGING
Practice address
20399 N Fletcher Way
Peoria, AZ 85382-1422
Phone
(602) 793-9256
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tiberiu Andrei Podobea
Title
President
Phone
(602) 793-9256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X L18367038 AZ Primary

Addresses

Primary practice location

20399 N Fletcher Way
Peoria, AZ 85382-1422

Mailing address

20399 N Fletcher Way
Peoria, AZ 85382-1422
Phone (602) 793-9256

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1003255258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20399 N FLETCHER WAY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853821422",
            "telephone_number": "602-793-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20399 N FLETCHER WAY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853821422",
            "telephone_number": "602-793-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MOBILE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "PODOBEA",
        "authorized_official_first_name": "TIBERIU",
        "authorized_official_middle_name": "ANDREI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-793-9256",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "AZ",
            "license": "L18367038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.