NPIMap

Organization Active NPI

Mdig of New Mexico, LLC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1225524531
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MDIG OF NEW MEXICO, LLC
Practice address
10835 N 25TH Ave Ste 240
Phoenix, AZ 85029-3458
Phone
(480) 999-1091
Fax
(602) 812-4985
NPI assigned
Jul 10, 2018
Last updated
Jul 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Ms. Tracy Prince, MANAGER
Title
RCM-Operations Manager
Phone
(480) 999-1091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

10835 N 25TH Ave Ste 240
Phoenix, AZ 85029-3458

Mailing address

10835 N 25TH Ave Ste 140
Phoenix, AZ 85029-3408
Phone (480) 999-1091

National Provider Directory

National Provider Directory

Locations

10835 N 25th Ave
Ste 140
Phoenix, AZ 85029

10835 N 25th Ave
Ste 240
Phoenix, AZ 85029
Phone 48099910918024

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1225524531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10835 N 25TH AVE STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293408",
            "telephone_number": "480-999-1091",
            "fax_number": "602-812-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10835 N 25TH AVE STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293458",
            "telephone_number": "480-999-1091",
            "fax_number": "602-812-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDIG OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "RCM-OPERATIONS MANAGER",
        "authorized_official_telephone_number": "480-999-1091",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.