Surgical Specialty Imaging LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SURGICAL SPECIALTY IMAGING LLC

Practice address

6501 N 19TH Ave
Ste a
Phoenix, AZ 85015-1646

Phone

(602) 314-4280

Fax

(602) 314-4289

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brian G. Drazba

Title

Senior V.P. & Chief Accounting Ofcr

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

Other names 1

• Camelback Specialty Imaging Doing business as

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Insight Health Corp

  • Diagnostic Radiology Physician
  • Woodbridge, VA
  • NPI 1255300471

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669520268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 ENTERPRISE CT",
            "address_2": "STE 100",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308406",
            "telephone_number": "949-282-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N 19TH AVE",
            "address_2": "STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151646",
            "telephone_number": "602-314-4280",
            "fax_number": "602-314-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAZBA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SENIOR V.P. & CHIEF ACCOUNTING OFCR",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelback Specialty Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surgeassist, PLLC
• Surgency Physician Assistant PLLC
• Surgery Center of Scottsdale, LLC
• Surgical Healthcare LLC
• Surgical Specialty Hospital of Arizona, LLC
• Surgicalrx Nutrition Therapy PLLC
• Surgicare, LLC
• Surgicenters of America LP
• Ritika Suri, MD
• Kyle Dean Surian

• Physiological Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physiological Laboratory 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.
• 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.