Active NPI
Portable Xray of Arizona Tucson
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tucson, AZ
National Provider Identifier
1487637773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- 0133882
- Legal business name
- PORTABLE XRAY OF ARIZONA TUCSON
- Practice address
- 1020 N Country Club Rd
Tucson, AZ 85716-4239 - Phone
- (520) 322-8111
- Fax
- (520) 322-9988
- NPI assigned
- Nov 21, 2005
- Last updated
- Aug 22, 2020
- 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
- Mrs. Robbie D Williams
- Title
- Director Corporate Support
- Phone
- (702) 939-6559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | 0133882 | AZ | Primary |
Addresses
Primary practice location
1020 N Country Club Rd
Tucson, AZ 85716-4239
Mailing address
1020 N Country Club Rd
Tucson, AZ 85716-4239
Phone (520) 322-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 579055 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Portable Xray of Arizona Phoenix
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Phoenix, AZ
- NPI 1588647432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487637773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164239",
"telephone_number": "520-322-8111",
"fax_number": "520-322-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164239",
"telephone_number": "520-322-8111",
"fax_number": "520-322-9988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTABLE XRAY OF ARIZONA TUCSON",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ROBBIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR CORPORATE SUPPORT",
"authorized_official_telephone_number": "702-939-6559",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "AZ",
"license": "0133882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "579055",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
- Rhonda Denise Porro, LMFT
- Portable Medical Pharmacy (Spectrum Pharmacy)
- Portable Medical Pharmacy- Arizona (Spectrum Pharmacy of Arizona)
- Portable Practical Education Preparation, Inc (PPEP Integrated Care)
- Portable Practical Educational Preparation, Inc
- Alexandra Marie Porter, N.D.
- Audrey Porter
- Blake Porter, FNP
- Donald Elwood Porter, MD
- Elsa Diaz Porter, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.