Premier Sports Imaging Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

27471 Issued in AZ

Legal business name

PREMIER SPORTS IMAGING INC

Practice address

7111 W Bell Rd
Suite 104
Glendale, AZ 85308-8551

Phone

(623) 533-4465

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Perry S Hiscok, M.D.

Title

Owner

Phone

(602) 943-9200

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1962466722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 W BELL RD",
            "address_2": "SUITE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088551",
            "telephone_number": "623-533-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPORTS IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "HISCOK",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-943-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "27471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0782750",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF AZ",
            "identifier": "2Z3264",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961905",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Family Care of Arizona
• Premier Family Care of Arizona, LLC
• Premier Health Care LLC
• Premier Home Dialysis Services
• Premier Neurology Institute
• Premier Sports Imaging of Glendale
• Clifton Jamar Premo, RRT
• Pressure Medical Technology LLC
• Margaret Maxine Preston
• Pretty Malokera LLC

• Diagnostic Radiology Physician in Glendale, AZ
• Providers in Glendale, 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 Jan 6, 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.