Organization Active NPI

Medical Imagery North LLC

  • Radiology Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1114995875
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MEDICAL IMAGERY NORTH LLC
Practice address
21031 N Cave Creek Rd
Suite F4
Phoenix, AZ 85024-5525
Phone
(602) 788-1900
Fax
(602) 788-1902
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mrs. Jennifer Schulze
Title
Authorized Official
Phone
(602) 788-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

21031 N Cave Creek Rd
Suite F4
Phoenix, AZ 85024-5525

Mailing address

21031 N Cave Creek Rd
Suite F4
Phoenix, AZ 85024-5525
Phone (602) 788-1900

Other identifiers 2

IdentifierTypeStateIssuer
146525OtherAZAHCCCS GROUP BILLER #
2Z4780OtherAZHEALTH NET OF AZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1114995875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 N CAVE CREEK RD",
            "address_2": "SUITE F4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245525",
            "telephone_number": "602-788-1900",
            "fax_number": "602-788-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 N CAVE CREEK RD",
            "address_2": "SUITE F4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245525",
            "telephone_number": "602-788-1900",
            "fax_number": "602-788-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGERY NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SCHULZE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "602-788-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS GROUP BILLER #",
            "identifier": "146525",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF AZ",
            "identifier": "2Z4780",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 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.