NPIMap

Organization Active NPI

Arizona Advanced Imaging Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Mesa, AZ
National Provider Identifier
1124078431
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
OTC3591 Issued in AZ
Legal business name
ARIZONA ADVANCED IMAGING CENTER LLC
Practice address
4566 E Inverness Ave
Suite 102
Mesa, AZ 85206-4633
Phone
(480) 380-7718
Fax
(480) 308-7717
NPI assigned
May 10, 2006
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Sean Zahniser
Title
Ceo
Phone
(480) 308-7718

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X OTC3591 AZ Primary
Radiology Clinic/Center 261QR0200X OTC3591 AZ

Addresses

Primary practice location

4566 E Inverness Ave
Suite 102
Mesa, AZ 85206-4633

Mailing address

4566 E Inverness Ave Ste 102
Mesa, AZ 85206-4633
Phone (480) 308-7718

Other practice location 1

600 S Dobson Rd Ste E42
Chandler, AZ 85224-5693
Phone (480) 306-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051110000903 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1254319056 Practice locations: Mesa, AZ
O20130809000228 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1254319056 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

4566 E Inverness Ave
Ste 102
Mesa, AZ 85206
Phone (480) 308-7718

1313 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 449-8115

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1124078431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-308-7718",
            "fax_number": "480-308-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-380-7718",
            "fax_number": "480-308-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Dobson Rd Ste E42",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245693",
            "country_code": "US",
            "telephone_number": "480-306-7008",
            "fax_number": "480-306-7316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA ADVANCED IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ZAHNISER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-308-7718"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "AZ",
            "license": "OTC3591",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": "OTC3591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.