Active NPI
Western Arizona Radiology
Doing business as NW Tucson Advanced Imaging
- Diagnostic Radiology Physician
- Tucson, AZ
National Provider Identifier
1699750786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23353
- Legal business name
- WESTERN ARIZONA RADIOLOGY
- Doing business as
- NW Tucson Advanced Imaging
- Practice address
- 6261 N la Cholla Blvd
#151
Tucson, AZ 85741-3565 - Phone
- (520) 352-7600
- Fax
- (520) 352-7610
- NPI assigned
- Dec 12, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Wayne Allen, MD
- Title
- Co Director
- Phone
- (480) 767-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 24893 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 23353 | AZ | Primary |
Addresses
Primary practice location
6261 N la Cholla Blvd
#151
Tucson, AZ 85741-3565
Mailing address
6261 N la Cholla Blvd
#151
Tucson, AZ 85741-3565
Phone (520) 352-7600
Other names 1
- NW Tucson Advanced Imaging
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1366429383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699750786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6261 N LA CHOLLA BLVD",
"address_2": "#151",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413565",
"telephone_number": "520-352-7600",
"fax_number": "520-352-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6261 N LA CHOLLA BLVD",
"address_2": "#151",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413565",
"telephone_number": "520-352-7600",
"fax_number": "520-352-7610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN ARIZONA RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "CO DIRECTOR",
"authorized_official_telephone_number": "480-767-2222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "24893",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "23353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NW Tucson Advanced Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
- William Westdyke
- Lydia Wester, M.D.
- Catherine M Westerband, MD
- Westerman P R Inc
- Jennifer Nicole Westermann, LPC
- Western Arizona Regional Home Health and Hospice Inc. (Northwest Healthcare Hospice)
- Western Dental of Arizona, Inc
- Western Dental of Arizona, Inc.
- Western Dental of Arizona, Inc.
- Western Medical Transportation
Sources for this page
- 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.