Lonestar Diagnostic

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

24893 Issued in AZ

Legal business name

LONESTAR DIAGNOSTIC

Practice address

456 N Mesa Dr
Mesa, AZ 85201-5913

Phone

(480) 733-9900

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James I Collins, MD

Title

Owner

Phone

(480) 733-9900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629292479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8039",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852528039",
            "telephone_number": "480-733-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N MESA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015913",
            "telephone_number": "480-733-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-733-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": "24893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372201",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Lombardo, ACNP, DNP
• Giada Lotus Lombardo
• Stefania Theresa Lombardo
• Susan Lombness, M.ED, BCBA, BHP
• Brittany Londer, PHD
• Donna Richelle Long, M.D.
• Jacinda Long
• Kendall Long
• Michael M Long, MD
• Longevity PT & Wellness LLC

• Radiology Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Radiology Clinic/Center 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.