NPIMap

Organization Active NPI

Az Tech Radiology & Open MRI

  • Specialist
  • Mesa, AZ
National Provider Identifier
1861922403
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M11054 Issued in AZ
Legal business name
AZ TECH RADIOLOGY & OPEN MRI
Practice address
8035 E Brown Rd BLDG 4
Mesa, AZ 85207-3902
Phone
(480) 889-3500
Fax
(480) 889-3501
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Mr. Rakesh K Pawha
Title
Administrator
Phone
(480) 889-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X M11054 AZ Primary

Addresses

Primary practice location

8035 E Brown Rd BLDG 4
Mesa, AZ 85207-3902

Mailing address

2653 W Guadalupe Rd Ste 200
Mesa, AZ 85202-7200
Phone (480) 889-3500

Other identifiers 1

IdentifierTypeStateIssuer
M11054OtherAZLICENSE

Other names 1

  • AZ-Tech Radiology & Open MRI, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Az Tech Radiology and Open MRI LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2653 W Guadalupe Rd
Ste 200
Mesa, AZ 85202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1861922403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 W GUADALUPE RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027200",
            "telephone_number": "480-889-3500",
            "fax_number": "480-889-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD BLDG 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073902",
            "telephone_number": "480-889-3500",
            "fax_number": "480-889-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ TECH RADIOLOGY & OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "PAWHA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-889-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "M11054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M11054",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ-Tech Radiology & Open MRI, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 15, 2017; 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.