NPIMap

Organization Active NPI

Sun Imaging Associates

  • Diagnostic Radiology Physician
  • Peoria, AZ
National Provider Identifier
1497156152
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
273509992 Issued in AZ
Legal business name
SUN IMAGING ASSOCIATES
Practice address
13943 N 91St Ave
Suite A102
Peoria, AZ 85381-3629
Phone
(623) 344-0642
Fax
(623) 344-5458
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Dr. Manntej Sra, M.D.
Title
Owner
Phone
(602) 705-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 273509992 AZ Primary

Addresses

Primary practice location

13943 N 91St Ave
Suite A102
Peoria, AZ 85381-3629

Mailing address

13943 N 91St Ave
Suite A102
Peoria, AZ 85381-3629
Phone (623) 344-0642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1497156152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE",
            "address_2": "SUITE A102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813629",
            "telephone_number": "623-344-0642",
            "fax_number": "623-344-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE",
            "address_2": "SUITE A102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813629",
            "telephone_number": "623-344-0642",
            "fax_number": "623-344-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN IMAGING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "SRA",
        "authorized_official_first_name": "MANNTEJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-705-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "273509992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.