NPIMap

Organization Active NPI

Assured Imaging Womens Wellness of Southern Arizona LLC

Doing business as Assured Imaging Women's Wellness

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1043021298
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ASSURED IMAGING WOMENS WELLNESS OF SOUTHERN ARIZONA LLC
Doing business as
Assured Imaging Women's Wellness
Practice address
7717 N Hartman LN
Tucson, AZ 85743-5800
Phone
(888) 233-6121
NPI assigned
Jan 16, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Jin S Kim, MD
Title
Ceo
Phone
(312) 774-8828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

7717 N Hartman LN
Tucson, AZ 85743-5800

Mailing address

7717 N Hartman LN
Tucson, AZ 85743-5800
Phone (888) 233-6121

Other names 1

  • Assured Imaging Women's Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412000621 NV Part B Supplier - Mammography Center 5799880761 1 other NPI on this enrollment
Practice locations: Tucson, AZ

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Assured Imaging Women's Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2905 W Warner Rd
Ste A1
Chandler, AZ 85224
Phone (520) 744-6121

9180 E Desert Cove Ave
Ste 105
Scottsdale, AZ 85260
Phone (480) 788-9334

6261 N La Cholla Blvd
Ste 111
Tucson, AZ 85741
Phone (520) 744-6121

6261 N La Cholla Blvd
Ste 151
Tucson, AZ 85741
Phone (520) 352-7600

6288 E Grant Rd
Tucson, AZ 85712
Phone (520) 319-6686

8710 N Thornydale Rd
Ste 100
Tucson, AZ 85742
Phone (520) 744-6121

206 S Coronado Ave
Espanola, NM 87532
Phone (833) 807-8727

3530 Foothills Rd
Ste I
Las Cruces, NM 88011

814 San Jacinto Blvd
Ste 303
Austin, TX 78701

10501 Gateway Blvd W
Ste 120B
El Paso, TX 79925

5801 Oakbend Trl
Ste 265
Fort Worth, TX 76132

4008 Vista Rd
Ste B101
Pasadena, TX 77504

7730 Spencer Hwy
Ste 200
Pasadena, TX 77505

Practitioners & affiliated clinicians

Practitioners 7

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": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1043021298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 N HARTMAN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857435800",
            "telephone_number": "888-233-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 N HARTMAN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857435800",
            "telephone_number": "888-233-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED IMAGING WOMENS WELLNESS OF SOUTHERN ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-774-8828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Imaging Women's Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.