NPIMap

Organization Active NPI

Associated Radiologists LTD

  • Radiology Clinic/Center
  • Mesa, AZ
National Provider Identifier
1780696609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ASSOCIATED RADIOLOGISTS LTD
Practice address
1125 E Southern Ave
Suite 200
Mesa, AZ 85204-5045
Phone
(480) 545-8119
Fax
(480) 892-6805
NPI assigned
Aug 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dean W. Marks
Title
Administrator
Phone
(480) 545-8119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1125 E Southern Ave
Suite 200
Mesa, AZ 85204-5045

Mailing address

1125 E Southern Ave
Suite 200
Mesa, AZ 85204-5045
Phone (480) 545-8119

Other identifiers 1

IdentifierTypeStateIssuer
585681MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1125 E Southern Ave
Ste 300
Mesa, AZ 85204
Phone (480) 545-8119

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780696609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E SOUTHERN AVE",
            "address_2": "SUITE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045045",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E SOUTHERN AVE",
            "address_2": "SUITE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045045",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RADIOLOGISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-545-8119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585681",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

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.

Verify at the official NPI Registry.