Active NPI
Mountain West Medical Imaging, LLC
- Diagnostic Radiology Physician
- Kingman, AZ
National Provider Identifier
1437254190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MOUNTAIN WEST MEDICAL IMAGING, LLC
- Practice address
- 2110 Airway Ave
Kingman, AZ 86409-3652 - Phone
- (928) 681-1800
- Fax
- (928) 681-1832
- NPI assigned
- Sep 14, 2006
- Last updated
- Mar 28, 2008
- 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
- Max L Terry, MD
- Title
- Owner
- Phone
- (928) 681-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
2110 Airway Ave
Kingman, AZ 86409-3652
Mailing address
2110 Airway Ave
Kingman, AZ 86409-3652
Phone (928) 681-1800
National Provider Directory
National Provider DirectoryLocations
2110 Airway Ave
Kingman, AZ 86409
Phone (928) 681-1800
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Kingman, AZ
- NPI 1295775815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1437254190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 AIRWAY AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093652",
"telephone_number": "928-681-1800",
"fax_number": "928-681-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 AIRWAY AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093652",
"telephone_number": "928-681-1800",
"fax_number": "928-681-1832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN WEST MEDICAL IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "MAX",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-681-1800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.