Organization Active NPI

Mobile Medical Diagnostics LLC

  • Mobile Radiology Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1407505100
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MOBILE MEDICAL DIAGNOSTICS LLC
Practice address
10869 N Scottsdale Rd Pmb602 Scottsdale, Az 8 Ste 103
Scottsdale, AZ 85254
Phone
(480) 737-4206
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Makenzie E. Teichert
Title
Radiology Tech/Sonography
Phone
(480) 737-4206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

10869 N Scottsdale Rd Pmb602 Scottsdale, Az 8 Ste 103
Scottsdale, AZ 85254

Mailing address

10869 N Scottsdale Rd Pmb602 Scottsdale, Az 8 Ste 103
Scottsdale, AZ 85254

National Provider Directory

National Provider Directory

Locations

10869 N Scottsdale Rd
Ste 103
Scottsdale, AZ 85254
Phone (480) 256-8102

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1407505100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 N SCOTTSDALE RD PMB602 SCOTTSDALE, AZ 8 STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10869 N SCOTTSDALE RD PMB602 SCOTTSDALE, AZ 8 STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-737-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "TEICHERT",
        "authorized_official_first_name": "MAKENZIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "RADIOLOGY TECH/SONOGRAPHY",
        "authorized_official_telephone_number": "480-737-4206"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.