Organization Active NPI

Arizona Medical Imaging Physicians, LTD.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1245444728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ARIZONA MEDICAL IMAGING PHYSICIANS, LTD.
Practice address
11209 N Tatum Blvd Ste 130
Phoenix, AZ 85028-3024
Phone
(602) 248-8002
Fax
(602) 248-8399
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Mark Allen Williamson
Title
Chief Financial Officer
Phone
(602) 248-8002

Specialties & licenses 1

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

Addresses

Primary practice location

11209 N Tatum Blvd Ste 130
Phoenix, AZ 85028-3024

Mailing address

11209 N Tatum Blvd Ste 130
Phoenix, AZ 85028-3024
Phone (602) 248-8002

National Provider Directory

National Provider Directory

Locations

11209 N Tatum Blvd
Ste 130
Phoenix, AZ 85028
Phone (602) 248-8002

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245444728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283024",
            "telephone_number": "602-248-8002",
            "fax_number": "602-248-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283024",
            "telephone_number": "602-248-8002",
            "fax_number": "602-248-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MEDICAL IMAGING PHYSICIANS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-248-8002",
        "authorized_official_name_prefix": "Mr."
    },
    "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 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.