Organization Active NPI

Arizona State Radiology, PC

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1245618545
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ARIZONA STATE RADIOLOGY, PC
Practice address
12112 Rancho Vistoso Blvd 150-221
Tucson, AZ 85755
Phone
(520) 722-8994
Fax
(520) 624-0117
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Rajul Shah, M.D.
Title
Member
Phone
(520) 722-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

12112 Rancho Vistoso Blvd 150-221
Tucson, AZ 85755

Mailing address

12112 Rancho Vistoso Blvd 150-221
Tucson, AZ 85755
Phone (520) 722-8994

National Provider Directory

National Provider Directory

Locations

12112 N Rancho Vistoso Blvd
#150221
Oro Valley, AZ 85755
Phone (520) 722-8994

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": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1245618545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 RANCHO VISTOSO BLVD 150-221",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-722-8994",
            "fax_number": "520-624-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 RANCHO VISTOSO BLVD 150-221",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-722-8994",
            "fax_number": "520-624-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-722-8994",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.