Portable Xray of Arizona Phoenix

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PORTABLE XRAY OF ARIZONA PHOENIX

Practice address

2338 W. Royal Palm Ave
Suite a
Phoenix, AZ 85029

Phone

(602) 864-3656

Fax

(602) 864-0386

NPI assigned

Nov 23, 2005

Last updated

Aug 22, 2020By 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

Mrs. Robbie D Williams

Title

Director Corporate Support

Phone

(702) 939-6559

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Portable Xray of Arizona Phoenix2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Portable Xray of Arizona Tucson

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tucson, AZ
  • NPI 1487637773
  NPD tax ID

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588647432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 W. ROYAL PALM AVE",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-864-3656",
            "fax_number": "602-864-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W. ROYAL PALM AVE",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-864-3656",
            "fax_number": "602-864-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE XRAY OF ARIZONA PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "579055",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misael Porras
• Vanessa Porras, FNP-C
• Portable Imaging of Arizona, LLC
• Portable X Ray of Arizona LLC
• Portable X Ray of Arizona LLC
• Breanna Portale
• Melissa Portela, A.T.
• Victoria Porten
• Kelley Roxanne Porter Turner, LMSW
• Amber Reese Porter, DNP, FNP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Arizona

• 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.

Verify at the official NPI Registry.