NPIMap

Organization Active NPI

American Dynamic Imaging LTD

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1740575299
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
OTC5077 Issued in AZ
Legal business name
AMERICAN DYNAMIC IMAGING LTD
Practice address
1110 E Missouri Ave
Suite 410
Phoenix, AZ 85014-2707
Phone
(602) 274-4674
Fax
(602) 274-6060
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Joel B Smith
Title
President
Phone
(817) 537-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X OTC5077 AZ Primary

Addresses

Primary practice location

1110 E Missouri Ave
Suite 410
Phoenix, AZ 85014-2707

Mailing address

121 NE Loop 820
Suite 200
Hurst, TX 76053-7375
Phone (817) 537-5100

National Provider Directory

National Provider Directory

Locations

797 Lonesome Dove Trl
Hurst, TX 76054
Phone (817) 577-7500

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1740575299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NE LOOP 820",
            "address_2": "SUITE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537375",
            "telephone_number": "817-537-5100",
            "fax_number": "817-537-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E MISSOURI AVE",
            "address_2": "SUITE 410",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142707",
            "telephone_number": "602-274-4674",
            "fax_number": "602-274-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DYNAMIC IMAGING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-537-5100"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "AZ",
            "license": "OTC5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.