Organization Active NPI

Standup MRI of America III

  • Magnetic Resonance Imaging Radiologic Technologist
  • Phoenix, AZ
National Provider Identifier
1417002874
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
STANDUP MRI OF AMERICA III
Practice address
1110 E Missouri Ave
Suite 410
Phoenix, AZ 85014-2707
Phone
(602) 274-4674
Fax
(602) 274-6060
NPI assigned
Jan 24, 2007
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Mr. Joel Smith
Title
President
Phone
(817) 537-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X NU Primary

Addresses

Primary practice location

1110 E Missouri Ave
Suite 410
Phoenix, AZ 85014-2707

Mailing address

121 NE Loop 820
Suite 200
Hurst, TX 76053-7375
Phone (817) 537-5100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1417002874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NE LOOP 820",
            "address_2": "SUITE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537375",
            "telephone_number": "817-537-5100",
            "fax_number": "817-537-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E MISSOURI AVE",
            "address_2": "SUITE 410",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142707",
            "telephone_number": "602-274-4674",
            "fax_number": "602-274-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDUP MRI OF AMERICA III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-537-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 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.