NPIMap

Organization Active NPI

Radiant Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Gilbert, AZ
National Provider Identifier
1891925582
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIANT MEDICAL IMAGING, LLC
Practice address
1760 E Pecos Rd
Gilbert, AZ 85295-3200
Phone
(480) 553-8999
Fax
(480) 553-8989
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Mr. Bryan Barkley, COO
Title
Chief Operating Officer
Phone
(480) 272-7771

Specialties & licenses 1

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

Addresses

Primary practice location

1760 E Pecos Rd
Gilbert, AZ 85295-3200

Mailing address

PO Box 25010
Overland Park, KS 66225-5010
Phone (913) 642-4900

Other identifiers 4

IdentifierTypeStateIssuer
1891925582OtherAZBCBSAZ
447882MedicaidAZ
DP5763OtherAZRR MEDICARE
615758000OtherAZDOL

Other names 1

  • Marquis Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

1760 E Pecos Rd
Gilbert, AZ 85295
Phone (480) 821-2883

Practitioners & affiliated clinicians

Practitioners 12

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": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1891925582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25010",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255010",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953200",
            "telephone_number": "480-553-8999",
            "fax_number": "480-553-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BARKLEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-272-7771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "1891925582",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447882",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DP5763",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "615758000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquis Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.