Scottsdale Mobile C Arm Services, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SCOTTSDALE MOBILE C ARM SERVICES, LLC

Practice address

1934 E Camelback Rd # 120-301
Phoenix, AZ 85016-4110

Phone

(602) 930-1528

NPI assigned

Apr 5, 2017

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale Holmes

Title

Member

Phone

(602) 930-1528

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1093248270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD # 120-301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164110",
            "telephone_number": "602-930-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD # 120-301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164110",
            "telephone_number": "602-930-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE MOBILE C ARM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-930-1528"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scottsdale Pain Center LLC
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• Mobile Radiology Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mobile Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.