Active NPI
North Mountain Imaging Specialists, LLC
- Diagnostic Radiology Physician
- Anthem, AZ
National Provider Identifier
1174829360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORTH MOUNTAIN IMAGING SPECIALISTS, LLC
- Practice address
- 3648 W Anthem Way
Building a-100
Anthem, AZ 85086-7001 - Phone
- (623) 780-3751
- NPI assigned
- Feb 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Anspach, FACHE
- Title
- Senior Vice President
- Phone
- (623) 780-3751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3648 W Anthem Way
Building a-100
Anthem, AZ 85086-7001
Mailing address
PO Box 9907
Phoenix, AZ 85068-0907
Phone (623) 780-3751
National Provider Directory
National Provider Directory- Tax ID family
- North Mountain Imaging Specialists LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1700182979
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1740587534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1174829360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9907",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850680907",
"telephone_number": "623-780-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3648 W ANTHEM WAY",
"address_2": "BUILDING A-100",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850867001",
"telephone_number": "623-780-3751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MOUNTAIN IMAGING SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-04",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "ANSPACH",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "623-780-3751",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.