Organization Active NPI

Onsite Cardiovascular Imag

  • Clinical Medical Laboratory
  • Queen Creek, AZ
National Provider Identifier
1356523773
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ONSITE CARDIOVASCULAR IMAG
Practice address
22830 S 197TH Way
Queen Creek, AZ 85242-8309
Phone
(480) 987-8762
Fax
(480) 987-8765
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Douglas Frederic Hoose, RDCS RVSNPI 1942293089
Title
Owner
Phone
(480) 987-8762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

22830 S 197TH Way
Queen Creek, AZ 85242-8309

Mailing address

22830 S 197TH Way
Queen Creek, AZ 85242-8309
Phone (480) 987-8762

National Provider Directory

National Provider Directory

Locations

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1356523773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22830 S 197TH WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852428309",
            "telephone_number": "480-987-8762",
            "fax_number": "480-987-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22830 S 197TH WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852428309",
            "telephone_number": "480-987-8762",
            "fax_number": "480-987-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE CARDIOVASCULAR IMAG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "HOOSE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-987-8762",
        "authorized_official_credential": "RDCS RVS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.