Organization Active NPI

Brain Health Diagnostics LLC

  • Mobile Radiology Clinic/Center
  • Mesa, AZ
National Provider Identifier
1689157752
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
BRAIN HEALTH DIAGNOSTICS LLC
Practice address
425 E 11TH Ave
Mesa, AZ 85204-4905
Phone
(480) 331-4540
Fax
(480) 696-5816
NPI assigned
Sep 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Dr. James Sieffert, DC, MHSM
Title
Manager
Phone
(480) 205-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

425 E 11TH Ave
Mesa, AZ 85204-4905

Mailing address

425 E 11TH Ave
Mesa, AZ 85204-4905
Phone (480) 331-4540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1689157752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 11TH AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044905",
            "telephone_number": "480-331-4540",
            "fax_number": "480-696-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 11TH AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044905",
            "telephone_number": "480-331-4540",
            "fax_number": "480-696-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN HEALTH DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "SIEFFERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-205-9447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MHSM"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.