Active NPI
Choice Medical Imaging of Arizona, LLC
- Radiology Clinic/Center
- Mesa, AZ
National Provider Identifier
1326344375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- OTC5014
- Legal business name
- CHOICE MEDICAL IMAGING OF ARIZONA, LLC
- Practice address
- 2919 S Ellsworth Rd
Suite 101
Mesa, AZ 85212-2164 - Phone
- (480) 358-9500
- Fax
- (480) 358-9525
- NPI assigned
- Feb 8, 2011
- Last updated
- Aug 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Farrell
- Title
- Owner/President
- Phone
- (207) 593-7501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | OTC5014 | AZ | Primary |
Addresses
Primary practice location
2919 S Ellsworth Rd
Suite 101
Mesa, AZ 85212-2164
Mailing address
PO Box 1169
Rockland, ME 04841-1169
Phone (207) 593-7501
National Provider Directory
National Provider DirectoryLocations
2919 S Ellsworth Rd
Ste 101
Mesa, AZ 85212
Phone (480) 305-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377216000000",
"number": "1326344375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1169",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048411169",
"telephone_number": "207-593-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 S ELLSWORTH RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852122164",
"telephone_number": "480-358-9500",
"fax_number": "480-358-9525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE MEDICAL IMAGING OF ARIZONA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-08",
"last_updated": "2013-08-23",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "207-593-7501",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "AZ",
"license": "OTC5014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Kevin Hyung Choi, D.D.S.
- Sonya Tung Choi, DDS
- Youn Choi, PHARMD
- Choice Education and Development Corp
- Choice Medical Imaging Inc
- Choice Recovery Center, LLC
- Choice Spine and Pain, LLC
- Choice Wellness LLC (Choice Wellness Intergrated Health LLC)
- Choices 4 Change Counseling and Coaching LLC
- Darin Chokey, ME.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.