Organization Active NPI

Mammography Partners LLC

  • Mammography Clinic/Center
  • Tucson, AZ
National Provider Identifier
1407006737
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
MAMMOGRAPHY PARTNERS LLC
Practice address
1200 N El Dorado PL # H820
Tucson, AZ 85715-4637
Phone
(520) 546-5599
NPI assigned
Sep 23, 2008
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Eileen Kanewske
Title
Dir. PT. Account
Phone
(469) 398-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

1200 N El Dorado PL # H820
Tucson, AZ 85715-4637

Mailing address

8401 Jack Finney Blvd
Greenville, TX 75402-3017
Phone (800) 945-2455

Other identifiers 1

IdentifierTypeStateIssuer
391999MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1200 N El Dorado Pl
#H820
Tucson, AZ 85715
Phone (520) 546-5599

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1407006737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 JACK FINNEY BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023017",
            "telephone_number": "800-945-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL # H820",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-546-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMOGRAPHY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "KANEWSKE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "DIR. PT. ACCOUNT",
        "authorized_official_telephone_number": "469-398-4114"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391999",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.