Organization Active NPI

Trinity Cardiovascular Imaging LLC

  • Sonography Specialist/Technologist Cardiovascular
  • Mesa, AZ
National Provider Identifier
1922524719
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
70271 Issued in AZ
Legal business name
TRINITY CARDIOVASCULAR IMAGING LLC
Practice address
6040 E Main St Ste 123
Mesa, AZ 85205-8928
Phone
(678) 857-0705
NPI assigned
Aug 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Peter ObenNPI 1972026896
Title
Director/Manager
Phone
(678) 857-0705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 70271 AZ
Sonography Specialist/Technologist Cardiovascular 246XS1301X 70271 AZ Primary

Addresses

Primary practice location

6040 E Main St Ste 123
Mesa, AZ 85205-8928

Mailing address

6040 E Main St Ste 123
Mesa, AZ 85205-8928
Phone (678) 857-0705

National Provider Directory

National Provider Directory

Locations

6040 E Main St
Ste 123
Mesa, AZ 85205
Phone (678) 857-0705

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922524719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "678-857-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "678-857-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CARDIOVASCULAR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OBEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "678-857-0705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "AZ",
            "license": "70271",
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "AZ",
            "license": "70271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.