Southwest Diagnostic Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTHWEST DIAGNOSTIC IMAGING LLC

Practice address

3501 N Scottsdale Road
Suite 130
Scottsdale, AZ 85251-8525

Phone

(480) 425-5078

Fax

(480) 657-3470

NPI assigned

Oct 27, 2005

Last updated

Dec 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Mohler

Title

Chief Revenue Cycle Officer

Phone

(480) 425-4065

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, CA, CO, PA, OR, FL, TX, IL, GA, HI, NV, NE, AL, MI, NY, DC, WI, OK, MA, WA, VA, UT, MD, LA, IA25 enrollments

Enrollment records 25

Locations (25 of 35)

Practitioners 256

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.

• Lea Marcie Alhilali, MD

  • Neuroradiology Physician
  • Phoenix, AZ
  • NPI 1952505141
  Medicare reassignment Care Compare group NPD
• Jared Whiting Allen, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1023265840

  UT

  Medicare reassignment Care Compare group NPD
• Christopher Ardary, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1659785327
  Medicare reassignment Care Compare group NPD
• Guy Thompson Borders, MD

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1487639068

  CO

  Medicare reassignment Care Compare group NPD
• Mark Chen, M.D.

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1750351755
  Medicare reassignment Care Compare group NPD
• Bernadette Roseanne Diegnan, D.O.

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1952794893
  Medicare reassignment Care Compare group NPD
• Ralph Drosten, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1386743128
  Medicare reassignment Care Compare group NPD
• Michelle Lai Dubes, M.D.

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1528260262

  CA

  Medicare reassignment Care Compare group NPD
• Lance Eberson, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1083110688
  Medicare reassignment Care Compare group NPD
• Sarah Eberson

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1669826335
  Medicare reassignment Care Compare group NPD
• Jeffrey James Fitzgerald, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1952457566
  Medicare reassignment Care Compare group NPD
• Millicent Gentry, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1154558039

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1902896236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207762",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207762",
            "telephone_number": "480-425-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE ROAD",
            "address_2": "SUITE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852518525",
            "telephone_number": "480-425-5078",
            "fax_number": "480-657-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "MOHLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "480-425-4065"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "858178",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.