One Source Radiology

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ONE SOURCE RADIOLOGY

Practice address

2076 E University Dr
Tempe, AZ 85281-4632

Phone

(480) 656-5400

Fax

(480) 656-5408

NPI assigned

May 15, 2012

Last updated

May 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adrian Carreon

Title

President

Phone

(480) 399-1742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1316206048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 E UNIVERSITY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852814632",
            "telephone_number": "480-656-5400",
            "fax_number": "480-656-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 E UNIVERSITY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852814632",
            "telephone_number": "480-656-5400",
            "fax_number": "480-656-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-399-1742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.