Organization Active NPI

Phoenix Sonographic Imaging

  • Sonography Radiologic Technologist
  • Phoenix, AZ
National Provider Identifier
1659719532
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
99018 Issued in NU
Legal business name
PHOENIX SONOGRAPHIC IMAGING
Practice address
207 W Clarendon Ave
# 10G
Phoenix, AZ 85013-3416
Phone
(718) 790-2775
NPI assigned
Jun 12, 2013
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Rong YangNPI 1679911556
Title
Director of Professional Services
Phone
(718) 790-2775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 99018 NU Primary
Vascular Sonography Radiologic Technologist 2471V0105X 99018 NU

Addresses

Primary practice location

207 W Clarendon Ave
# 10G
Phoenix, AZ 85013-3416

Mailing address

207 W Clarendon Ave
# 10G
Phoenix, AZ 85013-3435
Phone (718) 790-2775

National Provider Directory

National Provider Directory

Locations

1120 S Dobson Rd
Ste 200
Chandler, AZ 85286
Phone (480) 656-1199

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": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1659719532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W CLARENDON AVE",
            "address_2": "# 10G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133435",
            "telephone_number": "718-790-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W CLARENDON AVE",
            "address_2": "# 10G",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133416",
            "telephone_number": "718-790-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SONOGRAPHIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "RONG",
        "authorized_official_title_or_position": "DIRECTOR OF PROFESSIONAL SERVICES",
        "authorized_official_telephone_number": "718-790-2775"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": "99018",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": "99018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.