NPIMap

Organization Active NPI

Az-Tech Radiology & Open MRI

  • Specialist
  • Gilbert, AZ
National Provider Identifier
1710199658
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AZ-TECH RADIOLOGY & OPEN MRI
Practice address
4915 E Baseline Rd
Suite 116
Gilbert, AZ 85234
Phone
(480) 854-3369
Fax
(480) 889-3502
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Rakesh Pahwa
Title
Chairman and Ceo
Phone
(602) 763-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4915 E Baseline Rd
Suite 116
Gilbert, AZ 85234

Mailing address

2653 W Guadalupe Rd
Suite 201
Mesa, AZ 85202-7200
Phone (480) 889-1856

Other identifiers 1

IdentifierTypeStateIssuer
095505MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1710199658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 W GUADALUPE RD",
            "address_2": "SUITE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027200",
            "telephone_number": "480-889-1856",
            "fax_number": "480-889-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "SUITE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-854-3369",
            "fax_number": "480-889-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ-TECH RADIOLOGY & OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "PAHWA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "602-763-4114"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095505",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.