NPIMap

Organization Active NPI

Cedar Health Center

  • Mobile Radiology Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1154612232
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
CEDAR HEALTH CENTER
Practice address
2530 E 7TH Ave
Flagstaff, AZ 86004-3719
Phone
(928) 774-7165
Fax
(928) 268-3536
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Bruce B Lee, DCNPI 1104998665
Title
Owner
Phone
(928) 774-7165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

2530 E 7TH Ave
Flagstaff, AZ 86004-3719

Mailing address

2530 E 7TH Ave
Flagstaff, AZ 86004-3719
Phone (928) 774-7165

Other names 1

  • Arizona Digital Motion X-ray Doing business as

National Provider Directory

National Provider Directory

Locations

2530 E 7th Ave
Flagstaff, AZ 86004
Phone (928) 774-7165

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1154612232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 E 7TH AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043719",
            "telephone_number": "928-774-7165",
            "fax_number": "928-268-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 E 7TH AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043719",
            "telephone_number": "928-774-7165",
            "fax_number": "928-268-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-774-7165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Digital Motion X-ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.