Center for Oupatient Imaging, L.L.C.

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

CENTER FOR OUPATIENT IMAGING, L.L.C.

Practice address

1425 S Greenfield Rd
Suite 102
Mesa, AZ 85206-5505

Phone

(480) 324-8033

Fax

(480) 324-8038

NPI assigned

Apr 14, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grant Nelson

Title

Administrator

Phone

(480) 324-8033

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568426518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065505",
            "telephone_number": "480-324-8033",
            "fax_number": "480-324-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD",
            "address_2": "SUITE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065505",
            "telephone_number": "480-324-8033",
            "fax_number": "480-324-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR OUPATIENT IMAGING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-324-8033"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "0717920",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z0812",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724874",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mammography Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mammography Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.