Optimum Mobile Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

OPTIMUM MOBILE IMAGING, LLC

Practice address

1411 W Maplewood St
Chandler, AZ 85286-6972

Phone

(877) 343-2783

Fax

(888) 376-9730

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Collett

Title

Operating Manager

Phone

80188477812

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Tara Bruns, MD MPH

  • Emergency Medicine Physician
  • Prescott, AZ
  • NPI 1922368117
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1356425631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W MAPLEWOOD ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866972",
            "telephone_number": "877-343-2783",
            "fax_number": "888-376-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MOBILE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "80188477812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158098",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra S. Onsager, LPC
• Francisca Adaobi Onyemize, PMHNP
• Onyx Foot and Ankle PLLC
• Alexa Openshaw, MAS-MFT, LMFT
• Optimizeyou LLC
• Option 1 Nutrition Solutions, LLC (Aveanna Healthcare Medical Solutions)
• Optum Infusion Services 308, LLC
• George O Opudo
• Ahmed Oraibi
• Orange Medical LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.