NPIMap

Organization Active NPI

SMSJ Imaging Company LLC

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1740839786
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SMSJ IMAGING COMPANY LLC
Practice address
4892 N Stone Ave Ste 180
Tucson, AZ 85704-5761
Phone
(520) 872-5300
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Dale Skrnich
Title
Authorized Official
Phone
(469) 779-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4892 N Stone Ave Ste 180
Tucson, AZ 85704-5761

Mailing address

4892 N Stone Ave Ste 180
Tucson, AZ 85704-5761
Phone (520) 872-5300

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1740839786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4892 N STONE AVE STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045761",
            "telephone_number": "520-872-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4892 N STONE AVE STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045761",
            "telephone_number": "520-872-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMSJ IMAGING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "SKRNICH",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "469-779-3764"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.