Camelback Imaging Holdings LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CAMELBACK IMAGING HOLDINGS LLC

Practice address

15215 S 48TH St
Building 1 Suite 110
Phoenix, AZ 85044-9142

Phone

(480) 940-9729

Fax

(480) 940-9730

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jordan K Cohen, M.D.

Title

President/Owner

Phone

(602) 943-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1487618013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98341",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850380341",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "address_2": "BUILDING 1 SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-940-9729",
            "fax_number": "480-940-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELBACK IMAGING HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-943-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850950",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camelback Compounders LLC
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• Camelback Dental Care PLLC
• Camelback Dermatology & Skin Surgery, Inc
• Camelback Hospice LLC
• Camelback Medical Care LLC
• Camelback Medical Centers PLLC
• Camelback Mountain Medical Associates PC
• Camelback Pediatric Dentistry and Orthodontics
• Camelback Pediatrics PC

• Diagnostic Radiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.