Organization Active NPI

Arizona Mobile Medical Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Yuma, AZ
National Provider Identifier
1235675018
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
ARIZONA MOBILE MEDICAL DIAGNOSTICS
Practice address
3780 S 4TH Ave
Suite C
Yuma, AZ 85365
Phone
(928) 919-2305
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Irfan Fazil, M.D.
Title
President
Phone
(928) 366-7364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

3780 S 4TH Ave
Suite C
Yuma, AZ 85365

Mailing address

3780 S 4TH Ave
Suite C
Yuma, AZ 85365
Phone (928) 919-2305

National Provider Directory

National Provider Directory

Locations

3780 S 4th Ave
Ste D1
Yuma, AZ 85365
Phone (928) 342-6500

3780 S 4th Ave
Ste C
Yuma, AZ 85365
Phone (928) 342-6500

11611 S Foothills Blvd
Ste F
Yuma, AZ 85367
Phone (928) 247-9277

Practitioners & affiliated clinicians

Practitioners 2

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": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1235675018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 S 4TH AVE",
            "address_2": "SUITE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-919-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 S 4TH AVE",
            "address_2": "SUITE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-919-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MOBILE MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "FAZIL",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-366-7364",
        "authorized_official_credential": "M.D."
    },
    "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": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.