NPIMap

Ultrasound Specialties, LLC

Organization Active NPI Mobile Radiology Clinic/Center · Show Low, AZ

NPI 1083668552 · NPPES record last updated Feb 23, 2013

Key facts

NPI
1083668552
Entity type
Organization (NPI type 2)
Primary specialty
Mobile Radiology Clinic/Center 261QR0208X
License
41660 (AZ)
Legal business name
ULTRASOUND SPECIALTIES, LLC
Practice address
3051 S White Mountain Rd
Suite D
Show Low, AZ 85901-7435
Phone
(928) 532-0535
Fax
(928) 532-0537
NPI assigned
May 20, 2006
Organization subpart
No

Authorized official

Name
Jim Savage, RDMS NPI 1992929012
Title
Owner
Phone
(928) 242-4154

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3051 S White Mountain Rd
Ste D
Show Low, AZ 85901
Phone (928) 532-0535

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 41660 AZ Yes

Addresses

Primary practice location

3051 S White Mountain Rd
Suite D
Show Low, AZ 85901-7435

Mailing address

P O Box 1584
Show Low, AZ 85902
Phone (928) 532-0535

Other identifiers

IdentifierTypeStateIssuer
021007MedicaidAZ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 23, 2013.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361577600000",
    "number": "1083668552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1584",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "85902",
            "telephone_number": "928-532-0535",
            "fax_number": "928-523-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 S WHITE MOUNTAIN RD",
            "address_2": "SUITE D",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017435",
            "telephone_number": "928-532-0535",
            "fax_number": "928-532-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASOUND SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-02-23",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-242-4154",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "AZ",
            "license": "41660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021007",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

All providers in Show Low, AZ · Mobile Radiology Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.