Arizona Mobile Imaging LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

ARIZONA MOBILE IMAGING LLC

Practice address

2655 W Guadalupe Rd Ste 31B
Mesa, AZ 85202-7245

Phone

(480) 491-2224

Fax

(480) 491-5584

NPI assigned

Apr 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Zafer Ali Khan

Title

President

Phone

(224) 636-3637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Portable X-ray supplier certification: CCN 03X0009830

Legal name

ARIZONA MOBILE IMAGING, LLC

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jan 11, 2012

Last certification

Mar 2, 2020

Ownership / control type

Partnership

Facility address

2655 West Guadalupe Road, Suite 31B
Mesa, AZ 85202

Locations

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194041988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W GUADALUPE RD STE 31B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027245",
            "telephone_number": "480-491-2224",
            "fax_number": "480-491-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W GUADALUPE RD STE 31B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027245",
            "telephone_number": "480-491-2224",
            "fax_number": "480-491-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MOBILE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAFER",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-636-3637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.