Active NPI
Standup MRI of America III
- Magnetic Resonance Imaging Radiologic Technologist
- Phoenix, AZ
National Provider Identifier
1417002874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.