Arizona Diagnostics & Rehab

Primary specialty

SpecialistTaxonomy code 174400000X

License

3235 Issued in AZ

Legal business name

ARIZONA DIAGNOSTICS & REHAB

Practice address

430 N Dobson Rd Ste 116B
Mesa, AZ 85201-5276

Phone

(480) 220-5398

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Ellen Lewin

Title

Owner

Phone

(480) 220-5398

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1710210349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N DOBSON RD STE 116B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N DOBSON RD STE 116B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015276",
            "telephone_number": "480-220-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DIAGNOSTICS & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "LEWIN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-220-5398"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Dental Service
• Arizona Desert Hospice LLC
• Arizona Diabetes and Nutrition Education, LLC
• Arizona Diagnostic & Surgical Center, Inc
• Arizona Diagnostic Imaging
• Arizona Digital Motion X-Ray, LLC
• Arizona Discount Dentistry PLLC
• Arizona Endoscopy, PLLC
• Arizona Eye Institute, PLLC
• Arizona Family & Geriatric Medicine PLLC

• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.