Organization Active NPI

Scottsdale Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1609110030
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SCOTTSDALE IMAGING SERVICES, LLC
Practice address
3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5648
Phone
(480) 425-5000
Fax
(480) 425-5010
NPI assigned
Nov 26, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Rodney S Owen, MDNPI 1003805052
Title
President
Phone
(480) 425-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5648

Mailing address

9700 N 91St St
Suite C-200
Scottsdale, AZ 85258-5054
Phone (480) 425-5000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1078468Scottsdale Imaging Services Dba3501 N Scottsdale Rd, Ste 130, Scottsdale, AZ 85251Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1609110030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST",
            "address_2": "SUITE C-200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585054",
            "telephone_number": "480-425-5000",
            "fax_number": "480-425-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD",
            "address_2": "SUITE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515648",
            "telephone_number": "480-425-5000",
            "fax_number": "480-425-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-425-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.