NPIMap

Organization Active NPI

Phoenix Diagnostic Imaging, Inc

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1396720405
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PHOENIX DIAGNOSTIC IMAGING, INC
Practice address
1916 W Bethany Home Rd
Suite 110
Phoenix, AZ 85015-2458
Phone
(602) 242-5858
Fax
(602) 242-4725
NPI assigned
Dec 12, 2005
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Mr. Daniel J Schaefer
Title
Coo
Phone
(770) 300-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1916 W Bethany Home Rd
Suite 110
Phoenix, AZ 85015-2458

Mailing address

PO Box 52527
Phoenix, AZ 85072-2527
Phone (480) 545-0113

Other names 1

  • Phoenix Diagnostic Imaging Magnescan Other name

National Provider Directory

National Provider Directory

Locations

1916 W Bethany Home Rd
Ste 110
Phoenix, AZ 85015
Phone (602) 242-5858

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1396720405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52527",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722527",
            "telephone_number": "480-545-0113",
            "fax_number": "480-545-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 W BETHANY HOME RD",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152458",
            "telephone_number": "602-242-5858",
            "fax_number": "602-242-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX DIAGNOSTIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Diagnostic Imaging Magnescan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 12, 2009; 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.