NPIMap

Organization Active NPI

Sun Health Lakes Imaging Center

  • Radiology Clinic/Center
  • Sun City, AZ
National Provider Identifier
1245283597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
OTC-3641 Issued in AZ
Legal business name
SUN HEALTH LAKES IMAGING CENTER
Practice address
10474 W Thunderbird Blvd
Suite 100
Sun City, AZ 85351-3015
Phone
(623) 876-5351
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Burton
Title
Chief Executive Officer
Phone
(623) 876-5356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X OTC-3641 AZ Primary

Addresses

Primary practice location

10474 W Thunderbird Blvd
Suite 100
Sun City, AZ 85351-3015

Mailing address

PO Box 5430
Sun City West, AZ 85376-5430

Other identifiers 5

IdentifierTypeStateIssuer
5500000S0215OtherAZTMG
P00160563OtherAZLAKES MEDICARE RR (216)
2Z1539OtherAZHEALTH NET
AZ0761130OtherAZBCBSAZ
898190MedicaidAZ

National Provider Directory

National Provider Directory

Locations

10474 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 832-5316

Practitioners & affiliated clinicians

Practitioners 1

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245283597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5430",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 W THUNDERBIRD BLVD",
            "address_2": "SUITE 100",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513015",
            "telephone_number": "623-876-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN HEALTH LAKES IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "623-876-5356"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": "OTC-3641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMG",
            "identifier": "5500000S0215",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKES MEDICARE RR (216)",
            "identifier": "P00160563",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z1539",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0761130",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "898190",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.