NPIMap

Organization Active NPI

Phoenix Diagnostic Imaging Inc

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1033194147
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PHOENIX DIAGNOSTIC IMAGING INC
Practice address
15810 S 45TH St
Suite 110
Phoenix, AZ 85048-7694
Phone
(480) 753-6161
Fax
(480) 753-6162
NPI assigned
Dec 12, 2005
Last updated
Aug 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Dr. Howard J Simon, M.D.
Title
President
Phone
(480) 246-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X AZ Primary

Addresses

Primary practice location

15810 S 45TH St
Suite 110
Phoenix, AZ 85048-7694

Mailing address

PO Box 7368
Orange, CA 92863-7368
Phone (714) 571-5000

Other names 1

  • Phoenix Diagnostic Imaging - Ahwatukee Other name

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

725 S Dobson Rd
Chandler, AZ 85224
Phone (480) 812-1705

5620 W Thunderbird Rd
#A
Glendale, AZ 85306
Phone (602) 336-8600

6320 W Union Hills Dr
Ste 120
Glendale, AZ 85308
Phone (602) 535-2840

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1033194147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 S 45TH ST",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487694",
            "telephone_number": "480-753-6161",
            "fax_number": "480-753-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-246-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Diagnostic Imaging - Ahwatukee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.