NPIMap

Organization Active NPI

Mammography Partners LLC

  • Mammography Clinic/Center
  • Glendale, AZ
National Provider Identifier
1144472218
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
MAMMOGRAPHY PARTNERS LLC
Practice address
5422 W Thunderbird Rd
# 19C
Glendale, AZ 85306-4700
Phone
(602) 866-0503
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Eileen Kanewske
Title
Dir. PT. Acct
Phone
(469) 398-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

5422 W Thunderbird Rd
# 19C
Glendale, AZ 85306-4700

Mailing address

8401 Jack Finney Blvd
Greenville, TX 75402-3017
Phone (800) 945-2455

Other identifiers 1

IdentifierTypeStateIssuer
392501MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Mammography Partners LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5422 W Thunderbird Rd
Ste 19C
Glendale, AZ 85306
Phone (602) 439-1472

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1144472218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 JACK FINNEY BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023017",
            "telephone_number": "800-945-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 W THUNDERBIRD RD",
            "address_2": "# 19C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064700",
            "telephone_number": "602-866-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMOGRAPHY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "KANEWSKE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "DIR. PT. ACCT",
        "authorized_official_telephone_number": "469-398-4114"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392501",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.