NPIMap

Organization Active NPI

Arizona Portable Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
National Provider Identifier
1356349666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
7-M-7564 Issued in AZ
Legal business name
ARIZONA PORTABLE IMAGING LLC
Practice address
2011 W Mulberry Dr
Phoenix, AZ 85015-5720
Phone
(602) 241-9729
Fax
(602) 294-9729
NPI assigned
Jul 11, 2005
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. Robert B. Jackson, RT (ARRT)
Title
Owner
Phone
(602) 241-9729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 7-M-7564 AZ Primary

Addresses

Primary practice location

2011 W Mulberry Dr
Phoenix, AZ 85015-5720

Mailing address

PO Box 36934
Phoenix, AZ 85067-6934
Phone (602) 241-9729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356349666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36934",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850676934",
            "telephone_number": "602-241-9729",
            "fax_number": "602-294-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W MULBERRY DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155720",
            "telephone_number": "602-241-9729",
            "fax_number": "602-294-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PORTABLE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-241-9729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT (ARRT)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AZ",
            "license": "7-M-7564",
            "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.