Organization Active NPI

Bakorp, LLC

Doing business as Pacific Mobile Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tempe, AZ
National Provider Identifier
1811144959
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
BAKORP, LLC
Doing business as
Pacific Mobile Diagnostics
Practice address
1600 W Broadway Rd Ste 155
Tempe, AZ 85282-1138
Phone
(602) 541-7520
Fax
(480) 829-3883
NPI assigned
Aug 20, 2008
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Tangina Maloof
Title
Treasurer
Phone
(469) 636-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

1600 W Broadway Rd Ste 155
Tempe, AZ 85282-1138

Mailing address

1600 W Broadway Rd Ste 155
Tempe, AZ 85282-1138
Phone (480) 528-3322

Other names 1

  • Pacific Mobile Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000585 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6608896824 Practice locations: Tempe, AZ

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bakorp LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1811144959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W BROADWAY RD STE 155",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821138",
            "telephone_number": "480-528-3322",
            "fax_number": "480-829-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W BROADWAY RD STE 155",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821138",
            "telephone_number": "602-541-7520",
            "fax_number": "480-829-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKORP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Mobile Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.