Active NPI
Injury Diagnostics LLC
Doing business as Idx
- Electroneurodiagnostic Specialist/Technologist
- Phoenix, AZ
National Provider Identifier
1821674086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- INJURY DIAGNOSTICS LLC
- Doing business as
- Idx
- Practice address
- 3201 W Peoria Ave Ste B301
Phoenix, AZ 85029-4618 - Phone
- (480) 542-5590
- Fax
- (480) 542-5591
- NPI assigned
- Mar 19, 2021
- Last updated
- Mar 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Rhodes, FNP-BC
- Title
- Managing Member
- Phone
- (480) 542-5590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
3201 W Peoria Ave Ste B301
Phoenix, AZ 85029-4618
Mailing address
3201 W Peoria Ave Ste B301
Phoenix, AZ 85029-4618
Phone (480) 542-5590
Other names 1
- IDX
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Tempe, AZ
- NPI 1841631330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616112000000",
"number": "1821674086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE STE B301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294618",
"telephone_number": "480-542-5590",
"fax_number": "480-542-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE STE B301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294618",
"telephone_number": "480-542-5590",
"fax_number": "480-542-5591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INJURY DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A",
"authorized_official_last_name": "RHODES",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "480-542-5590",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IDX",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.