Mountain Imaging, LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

28316 Issued in AZ

Legal business name

MOUNTAIN IMAGING, LLC

Practice address

807 S Ponderosa St
Payson, AZ 85541-5542

Phone

(928) 472-1357

Fax

(928) 472-1290

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey C Crosby, M.D.,NPI 1831161900

Title

Owner

Phone

(480) 363-3202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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.

• Jeffrey Craig Crosby, MD

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1831161900

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1265606156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "STE. B-2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-493-1994",
            "fax_number": "602-443-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S PONDEROSA ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415542",
            "telephone_number": "928-472-1357",
            "fax_number": "928-472-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-363-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "AZ",
            "license": "28316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mogollon Treatment Center (Paradise Valley Recovery)
• Mogollon Treatment Center
• Candace Marie Moran, RN
• Suzanne Lea Morse, APRN
• Mountain Chiropractic, LLC
• Mountain View Family Medicine PC
• Sherrily Brown Mulleneaux, CFNP
• Joanne Muriithi, PHARMD
• Julieanne Joy Murphy, PT
• Lisa Marie Murphy, RDH

• Mammography Clinic/Center in Payson, AZ
• Providers in Payson, AZ by specialty
• Mammography Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.