Organization Active NPI

American Diagnostic Imaging

  • Radiology Clinic/Center
  • Chandler, AZ
National Provider Identifier
1659813814
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
AMERICAN DIAGNOSTIC IMAGING
Practice address
1120 S Dobson Rd Ste 200
Chandler, AZ 85286-6169
Phone
(718) 790-2775
Fax
(480) 613-3362
NPI assigned
Nov 4, 2016
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Mr. Yang Pan, MSRAS
Title
Chief Administrative Officer
Phone
(718) 790-2772

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary
Sonography Specialist/Technologist Cardiovascular 246XS1301X 99018 AZ
Sonography Radiologic Technologist 2471S1302X 99018 AZ
Vascular Sonography Radiologic Technologist 2471V0105X 99018 AZ

Addresses

Primary practice location

1120 S Dobson Rd Ste 200
Chandler, AZ 85286-6169

Mailing address

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

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": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1659813814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W CLARENDON AVE",
            "address_2": "# 10 G",
            "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": "1120 S DOBSON RD STE 200",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866169",
            "telephone_number": "718-790-2775",
            "fax_number": "480-613-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "718-790-2772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSRAS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "AZ",
            "license": "99018",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "AZ",
            "license": "99018",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "AZ",
            "license": "99018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.