Pro Imagining Az LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PRO IMAGINING AZ LLC

Practice address

1225 Hancock Rd # 50
Bullhead City, AZ 86442-5948

Phone

(928) 224-0064

Fax

(480) 842-8608

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Brianda Serrano

Title

Coo

Phone

(928) 224-0064

Specialties & licenses 1

Addresses

Other names 1

• Pro Imagining AZ Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1619600673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 HANCOCK RD STE 133",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425142",
            "telephone_number": "928-224-0064",
            "fax_number": "480-842-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD # 50",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425948",
            "telephone_number": "928-224-0064",
            "fax_number": "480-842-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO IMAGINING AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "BRIANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "928-224-0064"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "b.serrano@phoenixcancer.drchronodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1225 Hancock Rd # 105",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864425948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pro Imagining AZ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pro Imagining AZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Channa B Prasad, M.D.
• Prescott Healthcare Solutions LLC
• Prescott Healthcare Solutions LLC
• Derek Patrick Price, D.C.
• Tyler Primavera, D.O.
• Christopher Alan Proctor, CNS, CRNFA
• Michael Ray Proctor, DO
• Ryan Mark Proctor, D.O.
• Promptcare PC
• Pulmonology Group LLC

• Radiation Oncology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.