Apex Diagnostic Services, Inc.

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

APEX DIAGNOSTIC SERVICES, INC.

Practice address

1720 Mesquite Ave
Lake Havasu City, AZ 86403-5602

Phone

(928) 855-1550

NPI assigned

Dec 28, 2006

Organization subpart

Yes

Parent organization

APEX DIAGNOSTIC SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Ms. Tatyana White

Title

President

Phone

(702) 870-1195

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Apex Diagnostic SVCS Inc

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1104982719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 DOE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461209",
            "telephone_number": "702-870-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035602",
            "telephone_number": "928-855-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APEX DIAGNOSTIC SERVICES, INC.",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-870-1195",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS (AZ MEDICAID)",
            "identifier": "934027",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Ultrasound Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Diagnostic Ultrasound Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.